3-Tier Pharmacy Benefit
In January 2000, LifeWise began offering a 3-Tier Pharmacy Benefit to some groups.

The Preferred Drug List (PDL) applies only to members who have the 3-Tier pharmacy benefit.

To find out whether you have a 3-Tier pharmacy benefit, check your benefit booklet or call customer service.

The LifeWise Prescription Drug 3-Tier Benefit Plan is designed to provide you with a high quality benefit-one that helps manage costs while still offering you choice.

The program is simple. With this benefit, your drugs fall into one of three categories or "tiers." Each tier has a different copay:

Tier 1
All generic drugs
Lowest copay

Tier 2
Preferred brand name drugs
Higher copay

Tier 3
Non-preferred brand name drugs
Highest copay

For example:
Sarah's copays under this program are $5/15/30 for drugs purchased at a retail pharmacy.

• If Sarah receives a generic drug, she pays $5 copay.
• If Sarah receives a preferred brand drug, she pays $15.
• If Sarah receives a non-preferred brand name drug, she pays $30.

To find out how much your Tier 1, 2 and 3 copays are, please check your benefit booklet or group contract.

To see the preferred/nonpreferred status of a particular drug, go to: Preferred Drug List (PDL)

Cost-Saving Tips

• Ask your practitioner to prescribe a generic drug when appropriate. All generic drugs are covered and have the lowest copayment.
• If a generic drug is not appropriate, ask your practitioner to prescribe a preferred brand name drug on the Preferred Drug List (PDL). (These drugs have the Tier 2 copay)
• Ask your pharmacist to fill your prescriptions with a generic drug when allowed.

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