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The preferred drug list is subject to your benefit plan and changes frequently as new generic and brand name drugs become available.
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How
the 3-Tier Drug Plan Works:
All prescription drugs fall
into one of three tiers, or levels.
The tiers represent the level of cost
a member will pay: |
| Tier
1 - |
Generic drugs
($ - lowest out-of-pocket cost) |
| Tier
2 - |
Preferred brand name drugs
($$ - higher out-of-pocket cost) |
| Tier
3 - |
Non-preferred brand name drugs
($$$ - highest out-of-pocket cost) |
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Important notes:
- Tiers 1 and 2 are preferred drugs, which means you
will pay the lowest copays. Tier 3 drugs are non-preferred,
which means they are covered by your pharmacy benefits,
but you will pay the highest copay.
- Not all prescription drugs are listed. If you cannot
find a particular drug, or if you have questions,
please call our pharmacy claims processor, Argus Health
Systems, Inc. (Argus) at (800) 241-3371.
- For more information, read our Frequently
Asked Questions section.
- For groups who have a 4 Tier plan, please note that self-injectables are not
noted as Tier 4 in our on-line drug search.
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Serving Maryland, the District of Columbia and portions of Virginia. CareFirst BlueCross BlueShield is the shared business name of CareFirst of Maryland, Inc. and Group Hospitalization and Medical Services, Inc. CareFirst BlueChoice, Inc., an affiliate company, also offers health benefit products and services on this site.
CareFirst BlueCross BlueShield and CareFirst BlueChoice, Inc. are independent licensees of the Blue Cross and Blue Shield Association.
® Registered trademark of the Blue Cross and Blue Shield Association. ®' Registered trademark of CareFirst of Maryland, Inc. |
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