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Author: Admin | 2025-04-28
Drugs you are taking. We may immediately remove a brand name drug on our Drug List if we are replacing it with a newly approved generic version of the same drug. This newly approved generic drug will be on the same or lower cost sharing tier and have the same or fewer restrictions as the brand name drug. Also, when adding the new generic drug, we may decide to keep the brand name drug on our Drug List, but immediately move it to a higher cost-sharing tier or add new restrictions. We may not give you notice in advance before we make this change—even if you are currently taking the brand name drug. We might add a generic drug that is not new to the market to replace a brand name drug or change the cost-sharing tier or add new restrictions to the brand name drug. We also might make changes based on FDA boxed warnings or new clinical guidelines recognized by Medicare. We must give you at least 30 days’ advance notice of the change or give you notice of the change and a 30-day refill of the drug you are taking at a network pharmacy.Our Medicare plans cover both brand name drugs and generic drugs. Generic drugs have the same active-ingredient formula as a brand name drug. Generic drugs usually cost less than brand name drugs and are rated by the Food and Drug Administration (FDA) to be as safe and effective as brand name drugs.Our formulary uses a tiered structure. Drugs in each tier cost different amounts. Tier 1 Preferred Generic - Select generic drugs that are used for maintenance of health for chronic conditions and offer clinical and cost savings advantages. Includes many of the preventive vaccines recommended for adult immunization. Tier 2 Generic - Most
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