Get Tiers 3, 4, 5 & 6 Loan Application (for Members Covered By Articles 14, 15 Or 22) - Rs5025-a
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Tier 4 medications are non-preferred specialty medications. Tier 4 medications will have the highest member cost share. For Members who have a 3-tier benefit plan structure, medications within this PDL denoted as tier 4 medications will assess the 3rd tier Member cost share.
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