Definition

Sends your medicines to your home, often at a discount. It saves you time and sometimes money by avoiding pharmacy lines.

What to consider

  • Understand the cost differences between tiers.
  • Review formulary updates regularly.
  • Consult your pharmacy for any alternatives in lower tiers.

Real world scenarios

  • A large employer’s plan categorized medications into tiers, with generics being the most affordable.
  • Jenny reviewed her pharmacy benefit tiers to understand her out-of-pocket costs for brand-name drugs.
  • After a plan update, Tom noticed that some medications shifted tiers, affecting his copay amounts.

Related terms

Healthcare