H o w B l u e C r o s s o f N o r t h e a s t e r n P e n n s y l v a n i a ’ s T i e r 0 ( Z e r o ) C a n S a v e Y o u M o n e y What Is Tier 0? Who Can Get Tier 0?
We’re pleased to announce we have added another tier
Members of an insured employer group with our
of drugs to our multi-tiered prescription drug program.
multi-tiered prescription drug program are eligible for
This fourth tier includes approximately 65 generic
drugs with a cost of $0— that’s right, no copayment!
Tier 0 does not apply to members with a single-tier
Many of these generic drugs are used to treat chronic,
coinsurance prescription drug program (i.e., 50%, 20%)
high-cost conditions like diabetes, high blood pressure,
or prescription drugs covered under Major Medical.
heart disease, osteoporosis and gastric refl ux.
Tier 0 generic drugs, which are safe and effective,
Where Can I Find a List of Tier 0 Drugs?
are often considered the best therapies—and the best
We’ve attached a current list of Tier 0 drugs for your
buys—to treat the common conditions above.
convenience. Beginning July 1, 2008 the list will be added to Blue Cross of Northeastern Pennsylvania’s
What Are the Benefi ts of Tier 0?
Prescription Drug Formulary on www.bcnepa.com
under “Prescription Drug Benefi ts.”
• Copay-free access to important drug therapies so
How Can I Get Started?
Ask your doctor if a Tier 0 generic drug could work
• You’re getting a “best buy”— tried and true
for you or your family members. He/she must write
therapies proven to be safe and effective
you a new prescription for a Tier 0 generic drug. Saving Money With Tier 0 Drugs $420 a year Tier 0 Drugs: $240 a year per month per month $240 a year lovastatin $120 a year per month lovastatin per month $120 a year simvastatin
$420 a year! per month simvastatin Why pay more without getting more? Please note that self-funded group benefits may differ from benefits and services described herein. Consult your Summary Plan Description for complete details of your program.
Blue Cross of Northeastern Pennsylvania administers health care plans offered by Blue Cross of Northeastern Pennsylvania, Highmark Blue Shield, First Priority Health® and First Priority Life Insurance CompanySM. Blue Cross of Northeastern Pennsylvania ■ Prescription Drug Formulary ■ Tier 0 Drug List Effective July 1, 2008 Cardiovascular Medications Other Antihypertensives amlodipine/benazepril Calcium Antagonists
diltiazem, diltiazem ER, diltiazem SR, diltiazem SA
nadolol/bendrofl umethiazidequinapril w/HCTZ
Thiazide and Related Drugs hydrochlorothiazide HMG-COA Reductase Inhibitors pravastatin Potassium Sparing Diuretics Autonomic and CNS Medications Sedative/Hypnotic Drugs zolpidem Beta-Adrenergic Antagonist Drugs atenolol Selective Serotonin Reuptake Inhibitors Endocrine Medications Oral Hypoglycemic Drugs Alpha Blockers Other Endocrine Angiotensin Converting Enzyme Inhibitors Gastrointestinal Medications Proton Pump Inhibitors Urological Medications Anticholineric/Antispasmodics oxybutynin ER This list is subject to change at any time.
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