What is the coverage for prescription drugs?

Independence Blue Cross offers various health plans that include coverage for prescription drugs, although the specifics can vary depending on the individual plan selected. Coverage typically includes a formulary, which is a list of covered medications categorized into different tiers. Each tier usually has a different cost-sharing structure, meaning that members might pay a different amount based on the tier of the medication. Generally, tier one medications are the least expensive and often include generic drugs, while tier three or higher will include brand name drugs, which may result in higher out-of-pocket costs. It is important for members to review their specific plan details to understand co-payments, deductibles, and any limitations related to coverage, such as prior authorization requirements for certain medications. Additionally, many plans also provide an online tool where members can search for drugs and find information on coverage levels, co-payment amounts, and potential alternatives. Members are encouraged to check their plan’s formulary, which is usually available on the IBC website. This will give a comprehensive overview of prescribed medications and help manage medication costs effectively.