Getting prescription medications is simple.\u00a0 The following is a brief overview of a standard pharmacy benefits plan.<\/p>\n
\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 .\u00a0 Visit a participating pharmacy with your prescription and your BCBSNC<\/a> ID card.<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 .\u00a0 A copayment or coinsurance amount is required for a prescription, unless the copayment or coinsurance is waived.\u00a0 Copayments are the amounts paid for each prescription.\u00a0 Copayments or coinsurance are determined by the tier classification for a medication.<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 .\u00a0 Claims are filed electronically.\u00a0 No paperwork is required.<\/p>\n COPAYMENT OR COINSURANCE TIERS<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 TIER 1 (Generic Drugs) – FDA-approved versions of brand-name medications.\u00a0 Features are the lowest copayments.<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 TIER 2 (Preferred Brand Drugs) – Brand-Name drugs that meet the needs of most patients.\u00a0 Second lowest copayment.<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 TIER 3 (Non-Preferred Brand Drugs) – Brand-name drugs without a generic version, but have therapeutic alternatives in Tier 2.\u00a0 Not used typically as a first line of treatment.\u00a0 Some brand-name drugs with a generic equivalent.\u00a0 Higher copayment.<\/p>\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 TIER4 (Specialty Drugs) – Medications classified by BCBSNC<\/a> as those which require special dosing or administering, are typically prescribed by a specialist and are more expensive than most medications.\u00a0 Usually these are the highest copayment or coinsurance amount.<\/p>\n For more information on health insurance coverage in North Carolina<\/a>, please visit our website at www.nchealthplans.com<\/a> or call our toll free number 888-765-5400 and speak with one of our qualified agents.\u00a0 Our agency provides coverage for health insurance in North Carolina through Blue Cross Blue Shield of North Carolina\u00a0(BCBSNC).\u00a0 <\/a>You may qualify for a 15% healthy lifestyle discount if you are in excellent health.\u00a0 Call us for details.<\/p>\n","protected":false},"excerpt":{"rendered":" Getting prescription medications is simple.\u00a0 The following is a brief overview of a standard pharmacy benefits plan. \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 .\u00a0 Visit a participating pharmacy with your prescription and your BCBSNC ID card. \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 .\u00a0 A copayment or coinsurance amount is required for a prescription, unless the copayment or coinsurance is waived.\u00a0 Copayments are the amounts paid […]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[49],"tags":[23,136,39,397],"class_list":["post-157","post","type-post","status-publish","format-standard","hentry","category-blue-advantageblue-options-hsa","tag-bcbsnc","tag-blue-cross-blue-shield-of-north-carolina","tag-drug-benefits","tag-drug-tier-ratings"],"_links":{"self":[{"href":"https:\/\/www.nchealthplans.com\/news\/wp-json\/wp\/v2\/posts\/157","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.nchealthplans.com\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.nchealthplans.com\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.nchealthplans.com\/news\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.nchealthplans.com\/news\/wp-json\/wp\/v2\/comments?post=157"}],"version-history":[{"count":14,"href":"https:\/\/www.nchealthplans.com\/news\/wp-json\/wp\/v2\/posts\/157\/revisions"}],"predecessor-version":[{"id":3067,"href":"https:\/\/www.nchealthplans.com\/news\/wp-json\/wp\/v2\/posts\/157\/revisions\/3067"}],"wp:attachment":[{"href":"https:\/\/www.nchealthplans.com\/news\/wp-json\/wp\/v2\/media?parent=157"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.nchealthplans.com\/news\/wp-json\/wp\/v2\/categories?post=157"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.nchealthplans.com\/news\/wp-json\/wp\/v2\/tags?post=157"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}