Your employees' health and pharmacy benefits recently renewed with BlueChoice HealthPlan. Their benefit plan now includes a different prescription drug list (PDL) called the Tiered PDL. There is no change in the drugs the plan covers, but some of the drugs are now on a different tier. Each tier refers to a specific copayment or coinsurance level. Please see your plan documents to find out what employees will pay for each tier.
The six-tier pharmacy copay benefit is in place to better allow management of the always changing prices of drugs in the marketplace. As drug prices change and new generic medicines come into the market, you may see a change in the copay for the brand drugs that now have a generic. As the new generics become more available in the market, you may also see the copay for the generic drug increase or decrease to align with the changing cost of the drug. These changing copays are in place to better manage the pharmacy benefit and make the overall cost of health insurance more affordable.
View the 2018 Tiered Prescription Drug List or 2019 Tiered Prescription Drug List.
Save Money and Time
Generic drugs are medications that contain the same active ingredients as the corresponding brand-name drugs, but generally cost less. The U.S. Food and Drug Administration (FDA) requires testing of generic drugs before they are sold to make sure they are of the same quality and effectiveness as their brand-name counterparts.
To take advantage of the savings generic drugs can provide, your employees just need to get a prescription from their doctor and take it to a network pharmacy. If the prescription is filled with a generic drug, your employees will likely pay a lower copayment. If the prescription is filled with a brand-name drug that has a generic option, your employees will pay a higher copayment or coinsurance based on their benefit plan, plus the price difference between the generic and the brand-name drug. At no time will your employees pay more than the retail price.