Medicare Drug Tier Changes for 2007

For 2007, Priority Health's PriorityMedicare^SM, PriorityMedicarePlus^SM and PriorityMedicareRx^SM insurance plans are changing from a four-tier to a three-tier drug list, but this won't affect the cost members of the plans pay for many covered drugs. 

Here's how the two compare:

Drug Classification	2006 Medicare Plans	2007 Medicare Plans
Over-the-counter drugs Loratadine, Loratadine-D, or Prilosec OTC®	Tier 1 - $0 copayment*	No tier - $0 copayment*
Generic Drugs	Tier 2 - $10 copayment*	Tier 1 - $10 copayment*
Preferred Brand-name Drugs	Tier 3 - $28-$30 copayment*	Tier 2 - $30-$39 copayment*
Non-Preferred Brand-name Drugs	Tier 4 - $54-$55 copayment*	Tier 3 - $54-67 copayment*

To find out which tier a drug falls into, check the Approved Drug List at www.priorityhealth.com/medicare.


*Copayments for a 31-day supply at a pharmacy in the Priority Health retail pharmacy network before the out-of-pocket limit is reached. Copayments may vary when a plan is provided by an employer. People on limited incomes may pay less for their drugs.