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Tiered Pharmacy Copayments for Medications

A new rule starting February 27, 2017 could reduce prices for prescription drugs received through the Department of Veterans Affairs (VA) for non-service connected conditions.

Prior to this final rule, VA charged non-exempt veterans either $8 or $9 for each 30-day or less supply of medication, and that amount may have increased in future years. The new rule replaces those rates and establishes three classes of medications for copayment purposes, identified as Tier 1, Tier 2, and Tier 3. Copayment amounts are fixed and would vary depending upon the class of medication.

The following medication copayment amounts are applicable on the effective date of this final rule: $5 for a 30-day or less supply of a Tier 1 medication, $8 for a 30-day or less supply of a Tier 2 medication, and $11 for a 30-day or less supply of a Tier 3 medication. For non-exempt veterans these copayment amounts will result in lower out-of-pocket costs.

For more information, click on the link below.

VSO Alerts Archive
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