CRESTOR formulary database
The CRESTOR formulary database is a simple-to-use tool that allows you to
determine CRESTOR coverage for health plans specific to your area. Simply select
your state and up to two health plans. Your results will show available
coverage and any restrictions that may apply.
This information is provided for general informational purposes only and is
current as of May 2007. Individual plans may vary and all information is
subject to change. For the most current formulary information, contact your
patient's drug benefit provider.
The following definitions are generally applicable though they may vary by
plan. Please contact your patient's plan for specific information regarding
his or her tier structure.
N/A
Not applicable.
Not Covered
Drugs that are not covered by the plan.
Patient pays the difference
Patient pays the difference means that the plan requires that the patient pay the difference in cost between the brand product and the generic product.
Tier 1
This drug is available at the lowest co-pay. Most commonly, these are generic drugs.
Tier 2
This drug is available at a middle level co-pay. Most commonly, these are "preferred" (on formulary) brand drugs.
Tier 3
This drug is available at a higher level co-pay. Most commonly, these are "non-preferred" (off formulary) brand drugs.
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Tier 4
This drug is available at a higher level co-pay. Most commonly, these are "non-preferred" (off formulary) brand drugs or specialty prescription products.
Tier 5
This drug is available at a higher level co-pay. Most commonly, these are "non-preferred" (off formulary) brand drugs or specialty prescription products.
Tier 6
This drug is available at a higher level co-pay. Most commonly, these are "non-preferred" (off formulary) brand drugs or specialty prescription products.
Tier 7
This drug is available at a higher level co-pay. Most commonly, these are "non-preferred" (off formulary) brand drugs or specialty prescription products.
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OR (Other Restrictions)
Drugs with additional restrictions. An example is limitations that apply to certain strengths.
PA (Prior Authorization)
Drugs that require prior authorization. Typically, your doctor must provide additional information to your health plan in order for these drugs to be covered.
QL (Quantity Limits)
Drugs that have quantity limits with each prescription.
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ST (Step Therapy)
Drugs that include step therapy. Typically, your doctor must provide additional information to your health plan in order for these drugs to be covered.
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