A prescription drug list pdl also called a formulary is a list of commonly used medications organized into cost levels called tiers. Overview of what medicare drug plans cover.
Why Are There Different Medicare Prescription Drug Tiers
Medicare prescription drug tier list. Tier 4 non preferred drugs. Formularies are developed to meet the needs of most members based on the most commonly prescribed drugs including certain prescription drugs that medicare requires that we cover. All the drugs on our drug lists have been approved by the us. Your summary of benefits tells you the drug costs for tiers. A drug list is a list of prescription drugs your health plan covers. It shows the drugs we cover the tier a drug is on any limits or requirements and mail order availability.
Learn about medicare prescription drug plans part d medicare advantage plans more. 1 2020 and is subject to change after this date. Search our formulary for covered drugs and get the information you need. What medicare part d drug plans cover. Get the right medicare drug plan for you. Plans include both brand name prescription drugs and generic drug coverage.
When you look up a drug the second column of the drug list will show you what tier its in. Its also called a formulary. Silverscript medicare part d formulary tiers indicate the level of cost sharing for a covered drug. This pdl applies to members of our. Food and drug administration. The easiest way to find out what tier your drugs are in is by using your plans drug list.
These prescription drugs are lower in cost than tier 5 tier 5 specialty. These are the highest cost drugs including some injectables your plan may let you know when your prescription drug is moved to a higher cost sharing tier. Generally the lower the tier the less you pay. The formulary includes at least 2 drugs in the most commonly prescribed categories and classes. These costs are decided by your employer or health plan. Learn about formularies tiers of coverage name brand and generic drug coverage.
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. 1 2020 this prescription drug list pdl is accurate as of jan. In general the higher the tier the higher the members out of pocket cost for the covered drug. Your 2020 prescription drug list advantage 4 tier effective jan. The next anticipated update will be july 1 2020. A medicare part d drug list formulary is a list of drugs covered by a plan.
Silverscript plans use a system with five medicare formulary tiers. Costs for medicare drug. And we do research to make sure the drugs we choose are safe effective and lower in cost. You can find out more about how to read a drug list in our help center.
Gallery of Medicare Prescription Drug Tier List
