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What are Tier 1 2 3 4 5 drugs?

5-tier plan:
  • Level or Tier 1: Preferred, low-cost generic drugs.
  • Level or Tier 2: Nonpreferred and low-cost generic drugs.
  • Level or Tier 3: Preferred brand-name and some higher-cost generic drugs.
  • Level or Tier 4: Nonpreferred brand-name drugs and some nonpreferred, highest-cost generic drugs.
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What are Tier 1 Tier 2 Tier 3 Tier 4 drugs?

Tier 1: Least expensive drug options, often generic drugs. Tier 2: Higher price generic and lower-price brand-name drugs. Tier 3: Mainly higher price brand-name drugs. Tier 4: Highest cost prescription drugs.
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What are Tier 5 drugs?

Tier 5: Specialty drugs

These are the most expensive drugs on the drug list. Specialty drugs are used to treat conditions like cancer and multiple sclerosis. They can be generic or brand name. For most plans, you'll pay 25% to 33% of the retail cost for drugs in this tier.
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What are the 4 categories of medicine?

Legal categories of medication
  • General sales list.
  • Pharmacy only.
  • Prescription only medication.
  • Controlled drugs.
  • Herbal medicines.
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What are Tier 6 drugs?

Drugs in the Select Care tier (Tier 6) have a $0 copay for up to a 90-day supply in the Initial Coverage stage. This includes a select number of medications used to treat high blood pressure, diabetes and high cholesterol.
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What are Schedule Drugs? | Controlled Substances | PTCB EXAM | Schedule Drugs and Types |

What is a Tier 4 drug?

Medications in tier 4 are specialty brand-name products that may not have generic versions available. These medications are commonly used to treat complex, rare, or chronic medical conditions. Preferred specialty medications are more cost-effective than non-preferred specialty drugs.
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What is a Tier 0 drug?

Tier 0 drugs are medications that have been proven to be safe and effective for many people, and can provide similar benefits to other more expensive brand and generic drugs at a substantially lower price.
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What are the 5 types of medicine?

Preparations
  • Liquid. The active part of the medicine is combined with a liquid to make it easier to take or better absorbed. ...
  • Tablet. The active ingredient is combined with another substance and pressed into a round or oval solid shape. ...
  • Capsules. ...
  • Topical medicines. ...
  • Suppositories. ...
  • Drops. ...
  • Inhalers. ...
  • Injections.
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What are the 3 main classification of drugs?

Drug categories
  • depressants – slow down the function of the central nervous system.
  • hallucinogens – affect your senses and change the way you see, hear, taste, smell or feel things.
  • stimulants – speed up the function of the central nervous system.
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What are the 3 legal categories of medicines?

The act defines three categories of medicine: prescription only medicines (POM), which are available only from a pharmacist if prescribed by an appropriate practitioner (including, but not limited to doctors, dentists, optometrists, prescribing pharmacists and nurses); pharmacy medicines (P), available only from a ...
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What tier is Xanax?

Fortunately, many insurance plans classify alprazolam as a Tier 1 drug with the lowest possible copay cost. Alprazolam belongs to a class of drugs called benzodiazepines.
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What is a Tier 9 drug?

Tier 9: ($$$$$$$$) A drug that your prescription plan will not pay for or that is not included on the Approved Drug List. Check your plan documents for details. Preventive Drug: Preventive medications may be 100% covered if certain conditions (ie age or gender requirements) are met.
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What is a Tier 4 or 5 drug?

Level or Tier 4: Nonpreferred brand-name drugs and some nonpreferred, highest-cost generic drugs. Level or Tier 5: Highest-cost drugs including most specialty medications.
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Is Adderall a Tier 1?

Tier-2 long-acting stimulants include Adderall XR® (brand name only), Ritalin LA® (brand name only), and generic Focalin XR®.
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Is metformin a Tier 1 drug?

Medicare prescription drug plans typically list metformin on Tier 1 of their formulary. Generally, the higher the tier, the more you have to pay for the medication. Most plans have 5 tiers.
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What are 10 commonly used drugs?

Commonly Used Drugs Charts
  • Alcohol.
  • Ayahuasca.
  • Cannabis (Marijuana/Pot/Weed)
  • Central Nervous System Depressants (Benzos)
  • Cocaine (Coke/Crack)
  • Fentanyl.
  • GHB.
  • Hallucinogens.
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How do you classify drugs?

Drugs are typically classified by their chemical structure, mechanism of action, therapeutic effects, and/or potential for abuse.
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What are the 7 different classifications of medicines?

7 Drug Categories
  • (1) Central Nervous System (CNS) Depressants. CNS depressants slow down the operations of the brain and the body. ...
  • (2) CNS Stimulants. ...
  • (3) Hallucinogens. ...
  • (4) Dissociative Anesthetics. ...
  • (5) Narcotic Analgesics. ...
  • (6) Inhalants. ...
  • (7) Cannabis.
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What is a drug vs medicine?

In pharmacology, a drug is a chemical substance, typically of known structure, which, when administered to a living organism, produces a biological effect. A pharmaceutical drug, also called a medication or medicine, is a chemical substance used to treat, cure, prevent, or diagnose a disease or to promote well-being.
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Which drug form is most common?

The most common dosage forms include tablets, capsules, liquids, powders, and gels. Each form has its own advantages and disadvantages. Tablets are the most common type of pharmaceutical dosage form. They are easy to take and can be taken with or without food.
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Is sertraline a Tier 1 drug?

Medicare prescription drug plans typically list sertraline on Tier 1 of their formulary. Generally, the higher the tier, the more you have to pay for the medication. Most plans have 5 tiers.
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Why are drugs in tiers?

Each plan decides which drugs on its formulary go into which tiers. In general, the lowest-tier drugs are the lowest cost. Plans negotiate pricing with drug companies. If a plan negotiates a lower price on a particular drug, then it can place it in a lower tier and pass the savings on to its members.
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What tier is Adderall?

Amphetamine- Dextroamphetamine (generic Adderall XR) – Tier 2.
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