December 27, 2017
More Premera health plans are using our value-based Essentials formulary, which has four copay tiers:
- Tier 1: preferred generics
- Tier 2: preferred brands
- Tier 3: preferred specialty drugs
- Tier 4: Nonpreferred
Tier 4 consists of drugs that offer your patients less value for their money. These drugs also have higher co-insurance. Standard benefits include specialty drugs in the fourth tier, while this approach is different. All kinds of drugs can be in Tier 4-even generics.
How Can I find Essentials Formulary Status?
View information on formulary status of drugs.
Select the correct formulary from the pull down menu using the two-digit code. In most cases, this code can be found after the words “RX PLAN” on the customer ID card. Essentials formulary is coded E4.
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