Drug Tier Lookup

July 04, 2019

Drug Tier Lookup

This tool will show you if a drug is covered if it is available by mail and if there are any restrictions around its use. Formulary Lookup Preventive Drug Lists.

Heres an example of a Medicare drug plans tiers your plans tiers may be different.

Drug tier lookup. This search will use the five-tier subtype. Most generic prescription drugs. Check your PDL to stay updated on your pharmacy coverage.

For most plans youll pay around 1 to 3 for drugs in this tier. If searching by therapeutic class select a subclass. Very high cost prescription drugs.

Enrollment in any Humana plan depends on contract renewal. If searching by drug name choose drug strength and dosage form. Preferred brand-name prescription drugs.

The example shown is a Value 5-Tier plan. Search for a Drug by Name First Letter or by Therapeutic Class. The levels are organized as follows.

Check our drug list. Custom Tier List Maker. Enter medication name minimum 3 letters Medication name.

You have entered invalid characters. This material is provided for educational purposes only and is not intended for medical advice diagnosis or treatment. Select a drug group and drug sub-group if applicable from the list and click Search.

Do you want to continue. These are commonly prescribed generic drugs. Some subtypes have five tiers of coverage.

Medication Lookup Use this tool to learn more about your coverage for prescription medications including those with additional requirements like prior authorization. Humana is a Medicare Advantage HMO PPO and PFFS organization and a stand-alone prescription drug plan with a Medicare contract. This tier includes many generic drugs.

Generally the lower the tier the less you pay. Your health care provider can also ask Humana to make an exception. A Prescription Drug List PDL also called a formulary is a list of commonly used medications organized into cost levels called tiers.

For most plans youll pay around 7 to 11 for drugs in this tier. There are over 1 million tier list templates available on TierMaker and you can make a tier list for nearly anything by searching for the topic you are interested in or starting on our category page. This information is not a complete description of benefits.

Data sources include IBM Watson Micromedex updated 3 May 2021 Cerner Multum updated 4 May 2021 ASHP updated 3 May. These costs are decided by your employer or health plan. Search our formulary for covered drugs and get the information you need.

Search by medication name for up-to-date drug information including the benefit tier your drugs are on as well as applicable clinical edits such as prior authorization or step therapy requirements. The chart below shows the differences between the tiers. Your Summary of Benefits tells you the drug.

The number of dollar or percentage amounts next to Rx on your card will tell you how many tiers your plan has. Brand-name drugs including preferred and nonpreferred options Level or Tier 3. Medications on this tier have the lowest copayment.

It shows the drugs we cover the tier a drug is on any limits or requirements and mail order availability. Your coverage has limitations and exclusions which means that some drugs on this list may not be covered depending on your plans design. Pharmas most trusted formulary data in a free interactive lookup tool.

Level or Tier 1. Optimize formulary standing of your drug. Name of drug generic drug will be listed in italics under brand name drug and applicable strength and dosage form.

It will show you whether a drug is covered or not covered but the tier information may not be the same as it is for your specific plan. 711 for more information. Other pharmacies are available in our network.

Generally Humana will only approve a request. You can also find alternatives to non-covered medications. 2021 Prescription Drug Plans.

This is the highest copayment tier and includes some generics and brand-name covered drugs not selected for Tier 2. Explore DRGs Fingertip Formulary. 2021 Prescription Drug Plans.

Non-preferred brand-name prescription drugs. Each main plan type has more than one subtype. View your PDL to learn whats covered by your plan.

Please note that tier placement is subject to. Search result is displayed including. Generic drugs which could be low-cost preferred generics or general preferred generics Level or Tier 2.

Drug Tier What it means Cost. Each covered drug is in 1 of 5 drug tiers. These are also generic drugs but they cost a little more than drugs in Tier 1.

Search thousands of prescriptions and over-the-counter drugs covered by BMC HealthNet Plan. To find out what a drug will cost look up its tier under Status and then check prescription costs. Premium Preventive Drug List.

Medication name is a required field. You can access the drug search tool Drug Pricing Tool under Tools Resources at the bottom of the page. You can use our tier list maker to quickly create your own unique and interactive TierMaker template that anyone can use.

Others have four tiers three tiers or two tiers. The type of drug plan you have either Premium Value or Core NH will be shown on your ID card. Select a tier structure.

Each tier has a copay or coinsurance amount.

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