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Get the free 2013 Four-Tier Performance Prescription Drug List — Top 500 Medications

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This document serves as a guide to understand medication choices, coverage options under UnitedHealthcare, and specific details on the top 500 most utilized medications along with their tier classifications
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How to fill out 2013 Four-Tier Performance Prescription Drug List — Top 500 Medications

01
Obtain a copy of the 2013 Four-Tier Performance Prescription Drug List.
02
Review the list to understand the tiers and the medications included.
03
Identify your prescribed medications and check if they are on the list.
04
Categorize your medications according to the tier system provided.
05
Note any specific requirements or restrictions associated with each tier.
06
Consult your healthcare provider or pharmacist if you have questions about your medications or the list.
07
Complete any necessary paperwork or documentation required by your insurance provider based on the tier assignments.

Who needs 2013 Four-Tier Performance Prescription Drug List — Top 500 Medications?

01
Individuals who are prescribed medications listed in the 2013 Four-Tier Performance Prescription Drug List.
02
Patients enrolled in health plans that utilize the tiered medication system for cost management.
03
Healthcare providers looking to understand the cost implications of prescribed medications for their patients.
04
Insurance companies that manage prescription drug benefits.
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With Express Scripts, “Tier 1” will include all generic drugs, “Tier 2” will include all preferred brand-name drugs and “Tier 3” will include all nonpreferred brand-name drugs. It's important to note that some medicines may move from one tier (copayment/co-insurance level) to another.
These medications include some preventive vaccines as well as generic drugs for diabetes, high blood pressure and high cholesterol. Tier 6 drugs offer an affordable option to buy the most commonly needed drugs to treat these conditions.
The four types of drugs include: Depressants: These are drugs that slow or depress the functions of the central nervous system and brain. Stimulants: Drugs that accelerate the central nervous system are called stimulants. Opioids: Drugs that are used to suppress physical pain are called analgesics or opioids.
Specialty drugs are often biologics — "drugs derived from living cells" that are injectable or infused (although some are oral medications). They are used to treat complex or rare chronic conditions such as cancer, rheumatoid arthritis, hemophilia, H.I.V.
There are typically three or four tiers: Tier 1: Least expensive drug options, often generic drugs. Tier 2: Higher-price generic and lower-price brand-name drugs. Tier 3: Mainly higher-price brand-name drugs. Tier 4: Highest-cost prescription drugs.
Top 20 prescribed drugs by percentage of claims in 2025 YTD RankDrug name% of claims 1 calcium 2.74% 2 besylate 1.86% 3 Levothyroxine sodium 1.83% 4 Lisinopril 1.79%16 more rows • May 13, 2025
Medications in tier 4 are specialty brand-name products that may not have generic versions available. These medications are commonly used to treat complex, rare, or chronic medical conditions. Preferred specialty medications are more cost-effective than non-preferred specialty drugs.
Medications in tier 4 are specialty brand-name products that may not have generic versions available. These medications are commonly used to treat complex, rare, or chronic medical conditions. Preferred specialty medications are more cost-effective than non-preferred specialty drugs.

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The 2013 Four-Tier Performance Prescription Drug List — Top 500 Medications is a categorized list of the most commonly prescribed medications, designed to optimize prescription drug utilization and pricing based on performance tiers.
Pharmaceutical manufacturers and pharmacy benefit managers (PBMs) are typically required to file the 2013 Four-Tier Performance Prescription Drug List — Top 500 Medications with relevant regulatory bodies.
To fill out the list, organizations must categorize medications based on their cost and effectiveness, assign each medication to the appropriate tier, and ensure accurate reporting of the medications in the required format.
The purpose of the list is to enhance cost efficiency in prescription medications, encourage the use of high-value drugs, and ultimately improve health outcomes for patients.
The report must include the drug name, tier classification, pricing information, manufacturer details, and any relevant therapeutic class information.
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