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A list of prescription drugs covered by a prescription drug plan or other insurance plan offering prescription drug benefits. Also called a drug list. (https://www.healthcare.gov/glossary/formulary/)
When we talk about coverage in the Mayo Medical Plan (the Plan), we are talking specifically about the Mayo Clinic Pharmaceutical Formulary (the Formulary). If you or your family members use prescription medication, it can make a big difference in how much you have to pay.
The Formulary was developed and is maintained by a group of Mayo Clinic physicians and pharmacists. It is reviewed on a regular basis and changes are published monthly. The Formulary classifies prescription drugs into 5 broad categories and multiple subcategories.
It looks complicated but it's not. The most important thing to remember is that you get your best benefit from the Plan when you use a Tier 1 or Tier 2 medication. There are two ways to quickly find out what Tier a medication is in.
Once you know what Tier the medication is in, you can review the chart below to see how much your cost will be in 2018.
If you have questions about coverage for a particular medication or the Formulary in general, please contact Customer Service at Mayo Clinic Health Solutions 1-800-635-6671. Or, as always, feel free to comment below.