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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: