Tier 1 Preferred
12
Tier 2 Acceptable
8
Tier 3 Non-Preferred
5
Monthly Savings
$1,250.00
Avg Monthly Cost
$180.00
Cost-Effectiveness
Therapeutic Alternatives:
Avg Monthly Cost
$320.00
Cost-Effectiveness
Therapeutic Alternatives:
Avg Monthly Cost
$120.00
Cost-Effectiveness
Therapeutic Alternatives:
Avg Monthly Cost
$420.00
Cost-Effectiveness
Therapeutic Alternatives:
Avg Monthly Cost
$1,280.00
Cost-Effectiveness
Therapeutic Alternatives:
Cost Optimization
Tier 1 medications are selected for optimal cost-effectiveness, saving an average of $1,250.00 monthly.
Standardized Care
Formulary promotes evidence-based prescribing with proven therapeutic alternatives for each medication class.
Prior Authorization Process
Tier 3 medications require prior authorization to ensure clinical necessity and explore preferred alternatives first.