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Consider Tier 2 drugs if no Tier 1 drug is available to treat your condition. Only the specific strength listed applies to the Tier 1 copay. Any medication with a specific package size listed (e.g., 50ml bottle), is only available in that specific package size for the Tier 1 copay, regardless of the days supply. 235 0 obj <>stream Prices start at $14.69.
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Preferred brand (tier two)—Preferred brand name drugs. albuterol nebulization solution albuterol sulfate hfa (by Cipla, Par, Perrigo, Proficient Rx & Teva) ALECENSA alendronate allopurinol ALPHAGAN P 0.1% alprazolam ALUNBRIG amiodarone amitriptyline amlodipine amlodipine/benazepril amlodipine/valsartan amoxicillin amoxicillin/potassium clavulanate AMZEEQ anastrozole Lower prices. 0

Get up to 80% discount on your prescriptions when you shop with Blink Pharmacy. Same pills. The price for a generic drug is based on its tier and whether it is a 30-day or 90-day supply: 30-day-supply drugs cost $5 (tier 1), $10 (tier 2) or $15 (tier 3). Primatene Mist Epinephrine Inhalation Aerosol albuterol otc walgreens 160 Metered Sprays at Walgreens.

aminophylline 100mg tab 2 60 180 . If you are using a Tier 3 drug, talk to your doctor about Tier 1 and 2 drugs that may be appropriate for you. TIER 3 – Higher copayment – These are higher cost brand-name drugs. Tier 3 drugs are n- on preferred and will usually cost you more.

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Under the four-tier benefit structure, you pay a lower copayment for medically necessary generic medications and a higher ... ¢ Albuterol tablet ¢ Albuterol 2mg/5ml syrup ¢ Albuterol 0.083% inhalation solution ¢ Albuterol 0.5% inhalation solution ¢ Albuterol 1.25mg/3ml h�bbd```b``��� ��Dr���J`�Dr��H���"El�"`�< albuterol 0.083% inh soln 25x3ml 2 75 225 . ;�7,� %%EOF albuterol 0.5% inh sol 20ml 2 20 60 . Generic (tier One)—Includes most generic and a few selected OTC (Over The Counter) drugs.

���[ tier because they are “preferred” among other drugs that treat the same conditions. These drugs may have a lower cost alternative on Tier One or Tier Two. albuterol sulfate syrup (2mg/5ml) 1 120 360 . ��Lj�H�I`v�d� fk�M[��H2�Ԁ���1Ł��`�,b&7 ����L��E�ɿ iL@�(�}��8J�L�g`zz � �:0 Nonpreferred (tier three)—Nonpreferred brand name, and a few nonpreferred generic drugs. quantity drug name tier 30 90 . Our Tier 1 Generic Listing is reviewed and updated quarterly. Tier 2 drugs in this document are listed in all capital letters. 181 0 obj <>/Filter/FlateDecode/ID[<29C5FEC31BF44794BC1825502AD613AC><14450FC8F61EF544AD237A8CD8A1A341>]/Index[148 88]/Info 147 0 R/Length 140/Prev 573416/Root 149 0 R/Size 236/Type/XRef/W[1 3 1]>>stream This may be based on how well they work, if they have less side effects, if they’re more affordable, etc.

drug name tier 30 90 quinapril 5mg tab .