Pharmacy 101: Top 3 money-saving tips on prescription drugs

Save big at the pharmacy for individuals and families

If you are on Medicare: Check out the top 3 money saving tips here.

Formulary is the official name for the list of medications covered by your Bright HealthCare plan. It is sometimes called a “Drug List.” After you’ve read about how to use the formulary, this page helps you save money.

Want to go straight to the Formulary?

Formulary - Individual and Family

Our top 3 ways to save on prescription costs

Step 1

90-day supplies

Many drugs can be filled for a 90-day supply. After you’ve met any deductibles, this will save you money because you’ll get 3 months’ worth of your drug for only a 2 month copay for most plans. Just talk to your pharmacist or doctor about switching.

Step 2

Lower tier options

Using a lower-tier drug for your condition will help save you money. We suggest bringing the formulary with you to your doctor. This will make it easier to find a lower-cost drug.

Step 3

Generic drugs

Generic drugs will typically cost you less. They are identified on the formulary in italicized, lower case letters.

Condition-specific examples

Check your summary of benefits to determine the cost you will pay for each tier. For example, a plan may have the following copays:

  • Tier 1: $0
  • Tier 2: $30
  • Tier 3: $150
  • Tier 4: $250
  • Tier 5: 40% coinsurance

diabetic

Example scenario: Your doctor is considering prescribing Onglyza oral tablet to treat your diabetes. You look at the formulary and find that Onglyza oral tablet is on Tier 4, which will cost $250 per month based on the example copays above. You and your doctor also see there are 2 other drugs in the same class on a lower tier:

Alogliptin benzoate oral tablet is on Tier 2. Based on the example copays, it will cost you $30 per month.

This would be a savings of $220 per month or $2,640 per year.

Januvia oral tablet is on Tier 3. Based on the example copays, it will cost you $150 per month.

This would be a savings of $100 per month or $1,200 per year.

Check your summary of benefits to determine the cost you will pay for each tier. For example, a plan may have the following copays:

  • Tier 1: $0
  • Tier 2: $30
  • Tier 3: $150
  • Tier 4: $250
  • Tier 5: 40% coinsurance

asthma

Example scenario: Your doctor is considering prescribing Advair Diskus Inhalation to treat your asthma. You look at the formulary and find that Advair Diskus is on Tier 3, which will cost $150 per month based on the example copays above.

You and your doctor see there is another drug in the same class on tier 2: fluticasone- salmeterol inhalation aerosol. Based on the example copays, it will cost you $30 per month.

This would be a savings of $120 per month or $1,440 per year.

Check your summary of benefits to determine the cost you will pay for each tier. For example, a plan may have the following copays:

  • Tier 1: $0
  • Tier 2: $30
  • Tier 3: $150
  • Tier 4: $250
  • Tier 5: 40% coinsurance

chol

Example scenario: Your doctor is considering prescribing Livalo to treat your cholesterol. You look at the formulary and find that Livalo is on Tier 4, which will cost $250 per month based on the example copays above.

You and your doctor see there are many other drugs in the same class on tier 2: atorvastatin, fluvastatin, lovastatin, pravastatin, rosuvastatin, or simvastatin. Based on the example copays, these tier 2 drugs would cost you $30 per month.

This would be a savings of $220 per month or $2,640 per year.