When you look up a drug the second column of the drug list will show you what tier its in. Your physician may have the option to write you a prescription for a tier 1 tier 2 or tier 3 drug as defined below.
Formulary Versus Non Formulary Prescription Drugs Bia
Prescription drug tier list. 1 2019 and is subject to change after this date. The formulary includes at least 2 drugs in the most commonly prescribed categories and classes. Mostly brand name drugs as well as some generics. Where can i find out how much ill pay for drugs in each tier. List of prescription drugs covered by your plan is current as of october 1 2019. All covered drugs are placed into one of three tiers.
Its real cost the payers negotiated cost and whether there are cheaper options. Also may include higher priced generics that have more costeffective options at lower tiers. Find your plans drug list. Why drugs are listed in tiers. Tier 1 lowest cost prescription generic and some over the counter otc drugs. Each covered drug is in 1 of 5 drug tiers.
Your plans summary of benefits will have a section on prescription drug costs. Tier 2 prescription generic and some otc drugs. Each tier has a copay or coinsurance amount. A mix of brand name and generic drugs. The prescription drug tier which consists of the lowest cost tier of prescriptions drugs most are generic. However there may be instances when only a tier 3 drug is appropriate which will require a higher copayment.
Many tier 4 drugs have lower cost options in tiers 1 2 or 3. Your 2019 prescription drug list advantage three tier this prescription drug list pdl is accurate as of jan. The prescription drug tier which consists of medium cost prescription drugs most are generic and some brand name prescription drugs. A prescription drug list pdl also called a formulary is a list of commonly used medications organized into cost levels called tiers. Plans include both brand name prescription drugs and generic drug coverage. But tiers are also based on drug class.
This pdl applies to members of our unitedhealthcare neighborhood health plan river valley all savers and oxford medical plans. Use tier 2 or tier 3 drugs instead of tier 4 to help reduce your out of pocket costs. The next anticipated update will be july 1 2019. For an up to date list of covered drugs or if you have questions please call unitedhealthcare. You can find out more about how to read a drug list in our help center. Tier 3 brand drugs that dont have a generic available.
Most medicare drug plans medicare prescription drug plans and medicare advantage plans with prescription drug coverage have their own list of what drugs are covered called a formulary. The more the drug costs the payer the higher the tier. A drugs tier listing is a function of three things. These costs are decided by your employer or health plan. Tier 4 highest cost medications that provide the lowest overall value.
Gallery of Prescription Drug Tier List
