Tiered Copay Structure

Our 3-tier pharmacy program helps ensure that you and your doctor have a wide choice of covered medications for your prescription needs, while still being affordable. This plan lets you and your doctor choose from different medications with different copayments.

The amount you pay for each prescription—your copayment—is determined by a tier structure indicated on your member card.

Tiers (Copayment Levels)

An Important Resource
To check which level a medication is on, please go to our website www.bluecrossma.com and click on Pharmacy Program, or call a Member Service representative at the number listed on the front of your ID card.

Important Facts

Please check with your plan sponsor or employer for additional details about your plan.