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PEHP provides coverage for prescription drugs and injectible
medications through our pharmacy network. PEHP offers coverage for
blood pressure medications, birth control pills, insulin, diabetic
supplies and almost all other prescription drugs through our Preferred
Drug List. The Preferred Drug List is a listing of prescription
medications that have been chosen by PEHP's Pharmacy and Therapeutics
Committee ( a team of physicians, nurses and pharmacists from the
intermountain area). They choose medications that provide the best
overall value based on quality, safety, effectiveness and cost. The
Preferred Drug List can be modified periodically with changes based on
the Pharmacy and Therapeutics Committee's recommendations. The
pharmacy benefit is categorized into four copayment tiers:
- Tier 1: Preferred generic medications that are available at
the lowest copayment
- Tier 2: Preferred brand name medications that are available
at a median copayment
- Tier 3: Non-preferred medications that are available at the
highest copayment
- Tier 4: Specialty and injectible drugs at the benefit
described in your benefit summary
* Benefit design may differ from plan to
plan. Please refer to your benefit summary for your actual pharmacy
benefit.
Ask your physician to refer to the PEHP Preferred Drug List when
he/she is choosing a prescription medication. Choosing a preferred
generic or brand name drug will ensure the lowest possible copayment.
You can look up the coverage and tier level of specific medications at
www.medco.com, our Preferred Drug
List link
or call PEHP's customer service department at (801) 366-7555 or
1-800-765-7347. |
