Pharmacy Corner Information on this page does not apply to Medicare Part D. Click Here for Medicare Part D benefit information. Benefit design may differ from plan to plan. Please refer to your benefit summary for your actual pharmacy benefit. Claims Mail Service Quantity Levels-- new Pre-authorization Information Specialty Medications PEHP Preferred Drug List Common Pharmacy Questions Recent Changes to the Preferred Drug List

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