What are tier 6 drugs? Understanding pharmacy benefit tiers
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3 min read
The definition of what constitutes a 'tier 6 drug' is not universal and depends entirely on your specific health insurance plan. For some, it represents the highest-cost specialty medications, while for others, it is a select group of low-cost maintenance drugs. This significant discrepancy underscores the critical importance of reviewing your plan's formulary to determine your out-of-pocket costs accurately.