WebDownload our formulary (PDF) OTC medications You can get coverage for OTC medications on the formulary (drug list) when you: Meet any added requirements (for some medications) Get a prescription from your doctor Fill your OTC prescription at a pharmacy in our network You can also check with Member Services at 1-866-827-2710 (TTY: 711). WebJan 19, 2024 · Allergy, Immunology, and ENT. COPD. Cardio-vascular
Prescription Drug List (Formulary), Coverage & Costs
WebIn them you’ll find the copay or coinsurance amounts you can expect for the plan year. The formulary copay tiers are as follows: Tier 1: Preferred Generic Tier 2: Generic Tier 3: Preferred Brand Tier 4: Non-Preferred Drug Tier 5: Specialty Generally speaking, lower-cost drugs appear on lower tiers. WebA Prescription Drug List (PDL) – also called a formulary – is a list of commonly used medications, organized into cost levels, called tiers. These costs are decided by your employer or health plan. michelle alexander facebook
Pennsylvania Employees Benefit Trust Fund (PEBTF)
WebOct 15, 2024 · Access your formularies here or search a drug via the search tool. Drug Search Tool Search a Drug via the Search Tool Drug List and Other Documents List of Drugs (Formulary): Updated March 1, 2024 Download English Spanish List of Drugs Change Notice: Updated March 1, 2024 Download English Prior Authorization Criteria: Updated March 1, … WebApr 11, 2024 · Search for brand and generic medications by condition, or download the CVS Specialty drug list as a PDF (PDF). Select the first letter of a specialty condition to see the list of covered brand and generic medications. We found 9 results. Please note: The medications dispensed by CVS Specialty may change from time to time. WebJanuary 2024 PEBTF Drug List Your specific prescription benefit plan design may not cover certain products or categories, regardless of their appearance in this document. For … michelle alexander law professor