3-Tier Pharmacy Copayment Program
Prescription drug prices vary tremendously - including drugs used to treat the same condition. We sort prescription drugs into three tiers to help you and your doctor choose the most cost-effective option for the medication you need. Each tier has a specific copay amount that you pay when you fill or order your prescription.
|Tier Level||Tier Copay||Tier Description|
|Tier 1||Lowest copayment||Medications on this tier have the lowest copayment. This tier includes many generic drugs.|
|Tier 2||Middle copayment||Medications on this tier are subject to the middle copayment. This tier includes some generics and brand-name drugs.|
|Tier 3||Highest copayment||This is the highest copayment tier and includes some generics and brand-name covered drugs not selected for Tier 2.|
Look up Your Medication to Determine Tier Level and Special Coverage Considerations
For coverage dates starting 01/01/2015, please refer to the following links: