Tier 0 Some highly cost-effective medications: Co-pay per 30-day supply: $0
- Cholesterol Lowering Medications (Simvastatin)
- Proton Pump Inhibitors (Prilosec OTC, with physician Rx)
- Non-sedating Antihistamines: Generic Claritin (Loratadine and Loratadine D)
Tier 1 Current generics, some future generics: Co-pay per 30-day supply: $5 for generics on Group Health Options formulary.
Tier 2 Most brand drugs, and more costly or less desirable future generics: Co-pay per 30-day supply: $20 for brand on Group Health Options formulary.
Tier 3 Non-preferred brand drugs and some undesirable future generics: $30 if not on Group Health Options formulary (brand or generic).
Mail Order: Co-pays for a 90 day supply listed below. (Must use Group Health Mail Order Program)
- Tier 0 - $0
- Tier 1 - $15 for generic if on Group Health Options formulary
- Tier 2 - $60 for brand if on Group Health Options formulary
- Tier 3 - $90 if not on Group Health Options formulary (brand or generic)
- Brand Name Drug with Generic Available - Generic co-pay plus the actual difference in cost between the generic and the brand name drug. Download Group Health mail order form.
