Tag: tiered formulary

How Insurers Choose Which Generics to Cover: The Real Rules Behind Formulary Decisions

How Insurers Choose Which Generics to Cover: The Real Rules Behind Formulary Decisions

Insurers cover generics based on FDA approval, clinical effectiveness, and cost. Most place them in the lowest cost tier, but not all generics are treated equally. Learn how formularies work and what to do if yours isn't covered.

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