Prescription Drug Lists (PDLs) for Fully Insured Commercial Plans (non-exchange)

The PDL includes brand and generic medications separated into cost levels called tiers. When selecting a medication, review the PDL to see if there is a Tier 1 option (lowest cost) to treat your condition. If your medication is in Tier 2, 3 or 4 (highest cost), you may pay more. In addition we are providing a sample of a plan design offered in your market. This includes high level detail of all benefits provided, including prescription drugs.  

Small Group Plans

Fully Insured Health plans that have 2-50 employees

Large Group Plans

Fully Insured Health plans that have 51 or more employees

*groups up to 99 employees

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