Back to album

PDP Tiers

Each Medicare Prescription Drug Plan (PDP) had it’s own set of covered drugs that is called a formulary. The drugs plans are then placed into different Tiers in their formulary, and each of those tiers requires a separate amount that you will pay for your prescriptions. Basically the tiers are a way of holding down costs for both the plans and the enrollees. The way they are able to achieve this is by charging lower copays for less expensive drugs, and higher copays for the costlier ones. In some cases, if your drug is on a higher tier and your prescriber thinks you need that medication instead of a similar drug on a lower tier, you or your prescriber can ask your plan for an exemption for a lower copayment. The easiest way to find out what tier your prescription medication falls under is by taking a look at your plan's drug guide that is provided for you. Here is a breakdown of the Tiers.... bit.ly/2Frtqlt

1,902 views
0 faves
0 comments
Uploaded on July 30, 2019
Taken on June 4, 2019