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doi: 10.3389/fimmu.2017.01597 47 GalluzziLBuquAKeppOZitvogelLKroemerG
New 4 Tier Benefit Design New requirement for CMS Standardized Plan Offerings Available to On-Exchange plans Drug lists are exactly the same for 4 Tiers and 6 Tier prescription plans Some brands may be placed in generic Tiers and some generics may be placed in brand Tiers 87.3% of prescriptions filled (2022 YTD) fall into Tiers 1 and 2 of a 6 Tier benefit structure 43% of all medications on the formulary are in the first two Tiers of a 6 Tier benefit structure Pharmacy Networks Contains a tiered network structure that categorizes in-network pharmacies into two buckets: Preferred and Non-Preferred Members may pay a lower copay/coinsurance at an in-network Preferred pharmacy vs
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