Off-Exchange - RX Find
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
California
2019
2018
2017
Summary of Benefits Coverage
Drug List
Connecticut
Hawaii
Iowa
2019
2018
2017
Summary of Benefits Coverage
Maine
2019
2018
2017
Summary of Benefits Coverage
Montana
New Hampshire
2018
2017
Summary of Benefits Coverage
New York*
2018
2017
Summary of Benefits Coverage
Virginia
2019
2018
2017
Summary of Benefits Coverage
Washington
2019
2018
2017
Summary of Benefits Coverage
*groups up to 99 employees
Large Group Plans
Fully Insured Health plans that have 51 or more employees
California
Connecticut
Hawaii
Maine
2018
2017
Summary of Benefits Coverage
Washington
2018
2017
Summary of Benefits Coverage
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