3-Tier pharmacy with specialty drug management
A comprehensive, cost-effective pharmacy plan that can reduce premiums now, protect against rising costs in the future and align copays to costs. Your clients' costs go down as they offer employees a quality pharmacy plan with access to effective, affordable drugs.
The 3-Tier with Specialty Drug Management option:
- Includes five tiers - 3 for standard drugs and 2 for specialty drugs:
- Generic - FDA-approved prescription drugs that contain the same active ingredients as the brand-name equivalents; produced and distributed without a patent
- Preferred brand-name - Commonly prescribed brand-name drugs that are well-established as safe and effective
- Non-preferred brand-name - High-cost drugs that can usually be replaced by a lower-cost alternative with equal or better clinical effectiveness
- Preferred specialty - Specialty drugs that are clinically and cost effective
- Non-preferred specialty - High-cost specialty drugs that can usually be replaced by a lower cost alternative with equal or better clinical value
- Can be added to a Priority Health HMO, PPO, POS, HSA or HealthbyChoice AchievementsSM plan
- Features a network of more than 60,000 Michigan pharmacies, numerous national chains and nationally-known mail order service
- Has removed prior authorization and step therapy requirements on more than 100 commonly used medications
- Offers a variety of pharmacy copay/coinsurance options for small and large groups
Employer experience
Employers get an in-depth look at just how this pharmacy plan keeps their costs in check and why now is a good time to take advantage of this option.
Tools and resources
Contact your sales representative for more information about 3-Tier Pharmacy with Specialty Drug Management.
