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Your 2016 Four-Tier Prescription Drug List effective January 1, 2016, Please read: This document contains information about commonly prescribed medications. For additional information: Call the toll-free

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What is tier 4 prescription drug?

Tier 4 prescription drugs are medications that are typically the most expensive and often require prior authorization or may not be covered by insurance.

Who is required to file tier 4 prescription drug?

Healthcare providers, pharmacies, and insurance companies are typically required to file tier 4 prescription drug information.

How to fill out tier 4 prescription drug?

To fill out a tier 4 prescription drug form, one must provide detailed information about the medication, dosage, patient information, and any prior authorizations.

What is the purpose of tier 4 prescription drug?

The purpose of tier 4 prescription drugs is to help track expensive medications and ensure proper billing and coverage.

What information must be reported on tier 4 prescription drug?

Information such as the drug name, dosage, patient information, prescriber information, and any prior authorizations must be reported on a tier 4 prescription drug form.

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