2023 Medication Lookup
Not Covered by a 3-Tier Plan
Note TitleQuality Care DosingDefinitionTo ensure safety and effectiveness, this medication, which is covered through the pharmacy benefit, has quantity and dosage limits that are recommended by the Food and Drug Administration (FDA). Review the Quality Care Dosing Guidelines in the Important Information section to learn more.
Note TitleStep TherapyDefinitionThis medication is covered through the pharmacy benefit, and is part of our Step Therapy program, which helps your doctor provide you with safe, effective, and affordable medications.
Note TitleExceptions To Non Covered MedicationsDefinitionYour doctor may submit a request for an exception. If approved, the medication must still follow any applicable requirements before it can be covered by your plan. You’ll also pay the highest tier cost.