Pharmacy Information
Because prescription drugs are a major driver of overall health care spending, we've developed programs that bring you high-quality care that's efficient and cost effective.
Our benefits site has details on your prescription drug benefits. A few additional resources are listed below:
The following tier information applies to your pharmacy benefit for all BSW plans (EQA, SEQA, PPO and HSA). Using lower tier or preferred medications can help you pay your lowest out-of-pocket cost. Please note: If you have a high deductible plan, the tier cost levels will apply once you meet your deductible.
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Drug Tier
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Includes
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Helpful Tips
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Tier 0
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Preventive
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Tier 0 drugs may be available at a $0 cost share based on Health Care Reform regulations.
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Tier 1
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Preferred
Generics
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Use Tier 1 drugs instead of brand-name drugs, to help
reduce your out-of-pocket costs.
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Tier 2
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Preferred Brand
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Tier 2 drugs will generally have lower co-payments than
non-preferred brand-name drugs.
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Tier 3
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Non-preferred Brands and Generics
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Many Tier 3 drugs have lower-cost options in Tier 1 or 2.
Ask your doctor if they could work for you.
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Tier
SP1
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Specialty Preferred Generics
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Specialty drugs are sometimes used to treat complex and chronic conditions and may require special monitoring and handling. Use preferred options in SP1 and SP2 when available.
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Tier SP2
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Specialty Preferred Brands
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Specialty drugs are sometimes used to treat complex and chronic conditions and may require special monitoring and handling. Use preferred options in SP1 and SP2 when available.
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Tier SP3
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Specialty Non-preferred Brands
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Specialty drugs are sometimes used to treat complex and chronic conditions and may require special monitoring and handling. Use preferred options in SP1 and SP2 when available.
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Preventive Care Medications
Under the Affordable Care Act, also known as the health care reform law, SWHP covers some preventive care medications at 100% without charging a copay, coinsurance or deductible. The following list of drugs and products require a prescription (including over-the-counter medications) and filled at a network pharmacy to be covered at no cost share.
Baylor Scott & White Pharmacy Information
To learn about the services provided by Baylor Scott & White Pharmacies and their locations, visit: