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What are tiers?

Our prescription drug plan formularies place drugs into different “tiers.” There are several different cost-sharing levels or “tiers” into which various drugs are placed. The tiers have different costs associated with them, and in some cases, different ways of paying those costs (copayments or coinsurance). For example, a drug in a lower tier will cost you less than a drug in a higher tier.

Simply Healthcare formulary has five Tiers;

  • Tier 1 - Preferred Generic Drugs
  • Tier 2 - Generic Drugs
  • Tier 3 - Preferred Brand Drugs
  • Tier 4 - Non Preferred Brand Drugs
  • Tier 5 - Specialty Drugs
Last Updated: 
October 1, 2018