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