is vyvanse a tier 3 drug mircette

0000005030 00000 n This chart is just an example. Medications are listed by the condition they treat, then

0000012352 00000 n Some Tier 3 drugs may have generic versions in Tier 1 and may cost more than the generic versions on lower tiers. 0000034893 00000 n 0000018215 00000 n 0000001431 00000 n Tier 3 drugs have a higher cost share than Tier 2. Four-tier drug benefit Generic drugs not included in Tier 1. Use Tier 2 drugs, instead of Tier 3, to help reduce your out-of-pocket costs. trailer <

These companies are Independent Licensees of the Blue Cross and Blue Shield Association.Florida Blue and Florida Blue HMO do not discriminate on the basis of race, color, national origin, disability, age, sex, gender identity, sexual orientation, or health status in the administration of their plans, including enrollment and benefit determinations. You may access the Generally, the pronouns "our," "we" and "us" used throughout this website are intended to refer collectively to Blue Cross and Blue Shield of Florida, Inc. and its subsidiaries and affiliates. Dental, Life and Disability are offered by Florida Combined Life Insurance Company, Inc., DBA Florida Combined Life, an affiliate of Blue Cross and Blue Shield of Florida, Inc. Generic drugs on the published list. 0000003809 00000 n 0000002275 00000 n Example.

0000002390 00000 n Specialty drugs are used to treat complex, 0000010454 00000 n 1734 0 obj <> endobj xref 1734 34 0000000016 00000 n If your prescription drug is not on this list, it is not covered under our four-tier benefit structure.

Tier 4 specialty drugs have the highest cost share. CIGNA VALUE 3-TIER PRESCRIPTION DRUG LIST As of July 1, 2018 Offered by: Cigna Health and Life Insurance Company, Connecticut General Life Insurance Company, or their affiliates.

0000017057 00000 n HMO coverage is offered by Health Options Inc., DBA Florida Blue HMO, an HMO affiliate of Blue Cross and Blue Shield of Florida, Inc.

TIER 1 TIER 2 Brand-name drugs

%PDF-1.4 %âãÏÓ Yes, 100% of Medicare Part D plans cover Valium Vyvanse Coupons & Manufacturer Offers 2018 - 50% Off. Home; Prescriptions. 0000001643 00000 n 0000015503 00000 n This chart is just a sample.
How to read your drug list Use the sample chart below to help you understand this drug list. You may be able to sync your prescriptions and pick them up at the same time, even if the entire supply hasn’t been used yet.

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Tier 1 — Generic Drugs with $10 copay; Tier 2 — Preferred Brand Drugs with $25 copay; Tier 3 — Non-Preferred Brand Drugs with $50 copay after deductible of $500 is met.

876397 m Value 3-Tier w DRT 03/18. 0000013742 00000 n 0000011352 00000 n You can do this in person at your pharmacy or through home delivery.

It may not show how these medications are actually covered on the Performance 3-Tier Prescription Drug List. 0000006340 00000 n

It seems you're using a browser version we no longer support. Here’s how:The following can't be partially filled using the sync program:We comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability or sex.

ANTHEM BLUE CROSS AND BLUE SHIELD DRUG LIST Your prescription drug benefit includes coverage for medicines that you’ll find on the Anthem Drug List.

categories of prescription drugs that are not covered under the Performance 3-Tier plan. Tier 3 – Higher copayment – These are higher cost brand-name drugs. 0000013654 00000 n

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0000007562 00000 n organized in alphabetical order and each drug name includes a color box that shows which tier the drug falls within. 0000000976 00000 n

Tier 4 may also include drugs that were recently approved by the FDA. Check your plan benefits and don’t forget to use the Filling more than one prescription each month can mean several trips to the pharmacy. 0000019392 00000 n 0000024489 00000 n

Vyvanse Adderall (ST) Adzenys XR-ODT (ST) Aptensio XR (ST) Concerta (ST) Daytrana (ST) Dyanavel XR (ST) Focalin (ST) Metadate CD (ST) Methylin (ST) ... Cigna Performance 3-Tier Prescription Drug List 9 TIER 1 $ TIER 2 $$ TIER 3 $$$ CONTRACEPTIVE PRODUCTS (Cont) $ $$ $$$ CONTRACEPTIVE PRODUCTS .

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