A formulary is a list of drugs that are covered by your health plan. Each drug in the formulary is listed alongside its tier, which you can use to find out how your plan covers the drug. The formulary also provides details on any authorizations, restrictions or limits that may apply to ...
Edited by Holly Carey Managing Editor Nerdy takeaways A formulary is a list of the drugs your Medicare Part D plan covers. Most formularies are organized into tiers. Lower tiers usually include less expensive drugs, while pricier drugs go on higher tiers. The formulary tier can determine...
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2024 IL HMO Pharmacy Benefit Drug List Changes Starting January 1, 2024, some prescription drugs for Illinois HMO may: • Move to a higher or lower drug tier • Be added or removed from the drug list • Have a new special requirement Below is a list of drugs in alpha order that ...
A prescription drug tier list, also referred to as a formulary, is used to determine what you pay out of pocket for prescription medications. They list which medications are covered by your health insurance plan and what they’ll cost you. ...
VALUE DRUG LISTValue Drug List | Effective July 2014 Page 2 of 33 Step Therapy : Pre- Authorization : Quantity Limit : Fill at a specialty pharmacy : Medical BenefitMost Tier 1 drugs are generics, and the name listed first below in lower case is the generic name. The branded names in ...
HealthNet's3TierRecommendedDrugList Tier1Tier2Tier3(NotonTheDrugList) Acetaminophen/CodeineTabletsAVINZACAPSULES(QL)ABSTRALSUBLINGUALTABLETS(PA) Acetaminophen2.5/Hydrocodone1.67ElixirCODEINETABLETSACTIQLOZENGES(PA) Acetaminophen325/Hydrocodone5TabletsDARVONCPD.CAPSULESButorphanolNasalSpray(QL) ...
I BCBSTX Health Insurance Marketplace 3 Tier Standard Preferred Drug List October 2015 How to use this list Generic drugs are shown in lower-case boldface type. Most generic drugs are followed by a reference brand drug in (parentheses). Some generic products have no reference brand. Example: ...
237 3 Preferred Agents Non-Preferred Agents Analgesics Nonsteroidal Anti-inflammatory Drugs addaprin (generic for ADDAPRIN) - Tier 1; QL ANAPROX DS (brand for naproxen sodium) - Tier 2; PA; QL ADVIL (brand for cvs ibuprofen) - Tier 2; QL ARTHROTEC (brand for diclofenac-misoprostol) - ...
clinical needs of participants. The latest basic-tier drug list is set out in the Annex. The Government provides partial subsidy under the co-payment model of the CDCC Pilot Scheme. Bearing the primary responsibility for their own health, participants pay a certain amount of co-payment fee as...