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Pharmacy Information

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Prescription Drug Benefits

The Scott and White Health Plan uses a formulary (a list of drugs) that has been selected by a committee of Scott and White Physicians and Pharmacists. These medications are selected based on research that shows their safety and effectiveness. Since there can be many different brands of similar prescription medicines, the formulary is used to select the medication that proves to be most effective in treating an illness.

Members have access to our Pharmacy Benefits Manager allowing them to see pharmacy claim information, find eligible pharmacy locations, find prescription deductible information, drug information and drug pricing.

Baylor Scott & White Health Plan Pharmacy Locations

Drug Tier Definitions for Individual and Family Plans 


Tier 1 (Preferred Generic Medications)

  • Generic drugs
  • Lowest cost option

Tier 2 (Preferred Brand Medications)

  • Preferred brand-name products based on safety, efficacy, and cost
  • Second lowest cost option

Tier 3 (Non-Preferred Brand and Generic Medications)

  • Brand name and generic drugs for which alternatives are available in Tier 1 or Tier 2
  • Not used typically as a first-line of treatment
  • Higher copayment or coinsurance option

 

Drug Tier Definitions for Individual and Family Plans 


Benefit Descriptions