The formulary includes at least 2 drugs in the most commonly prescribed categories and classes. Many tier 4 drugs have lower cost options in tiers 1 2 or 3.
Section 9 Prescription Drug Benefits 9240 Kff
Prescription drug tier list. You can find out more about how to read a drug list in our help center. Your plans summary of benefits will have a section on prescription drug costs. A mix of brand name and generic drugs. Mostly brand name drugs as well as some generics. List of prescription drugs covered by your plan is current as of october 1 2019. Where can i find out how much ill pay for drugs in each tier.
This pdl applies to members of our unitedhealthcare neighborhood health plan river valley all savers and oxford medical plans. Plans include both brand name prescription drugs and generic drug coverage. But tiers are also based on drug class. 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. All covered drugs are placed into one of three tiers. Your 2019 prescription drug list advantage three tier this prescription drug list pdl is accurate as of jan.
When you look up a drug the second column of the drug list will show you what tier its in. Find your plans drug list. Its real cost the payers negotiated cost and whether there are cheaper options. Tier 4 highest cost medications that provide the lowest overall value. Why drugs are listed in tiers. The prescription drug tier which consists of medium cost prescription drugs most are generic and some brand name prescription drugs.
A drugs tier listing is a function of three things. However there may be instances when only a tier 3 drug is appropriate which will require a higher copayment. The more the drug costs the payer the higher the tier. A prescription drug list pdl also called a formulary is a list of commonly used medications organized into cost levels called tiers. Tier 3 brand drugs that dont have a generic available. 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. The prescription drug tier which consists of the lowest cost tier of prescriptions drugs most are generic. Also may include higher priced generics that have more costeffective options at lower tiers. Tier 1 lowest cost prescription generic and some over the counter otc drugs. 1 2019 and is subject to change after this date. Each covered drug is in 1 of 5 drug tiers.
Your physician may have the option to write you a prescription for a tier 1 tier 2 or tier 3 drug as defined below. These costs are decided by your employer or health plan. Each tier has a copay or coinsurance amount. Tier 2 prescription generic and some otc drugs. Use tier 2 or tier 3 drugs instead of tier 4 to help reduce your out of pocket costs.
Gallery of Prescription Drug Tier List
