Prescription Drug Benefits: Premium 3-Tier Is a prescription covered? How the drug tiers work Find the tier on member ID Card PREMIUM 3-TIER Plan type • Generic drugs, certain over-the-counter Tier 1 $ medications, and selected brand-name drugs Tier 2 $$ • Brand-name drugs without generic equivalents and some high-cost generic drugs Plan tiers Tier 3 $$$ • Drugs not in Tier 1 or Tier 2 (non-preferred Easy to use: brands, and highest cost generics) Online Drug Tier Look-up HarvardPilgrim.org/rx 20