How is the drug list developed?
The drug list is developed and administered by the
First Health Pharmacy and Therapeutics Committee, which consists
of medical directors and pharmacists. This committee reviews and
updates the drug list periodically. All FDA-approved drugs are included
on the First Health® Rx drug list, but certain drugs may be
excluded from your patient's plan. Patients should contact their
benefits department to view the complete drug list and their plan's
Please understand that this drug list is not intended
as a substitute for a doctor's professional judgment. It is offered
as a tool to help you and your patient maximize treatment effectiveness
while taking into account both drug therapy needs and costs.
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What is a tier?
Drugs on the First Health® Rx drug list
are placed in tiers by the Pharmacy and Therapeutics Committee following
review of their safety, clinical effectiveness, and various financial
considerations. Tier one contains most preferred drugs, tier two
preferred brand, and tier three, non-preferred brand drugs.
Tier one (most preferred drugs) contains most A-rated
generics. These generics are generally the most affordable prescription
drugs. A-rated generic drugs meet the same FDA standards, and have
the same chemical composition as their brand-name equivalents.
Tier two (preferred brand drugs) contains brand-name
drugs that the Pharmacy and Therapeutics Committee evaluated as
being clinically superior, safer, or more cost effective than other
similar brand drugs.
Tier three (non-preferred brand drugs) contains drugs
that the Pharmacy and Therapeutics Committee has evaluated as having
no established clinical or cost advantages over the same or similar
brand-name drugs. For the purpose of individual choice or need,
you or your patient may decide that you prefer drugs on this tier.