Tag: formulary tiers

How Insurers Choose Which Generics to Cover: The Real Rules Behind Formulary Decisions

Insurers use strict criteria to pick which generic drugs to cover - focusing on cost, safety, and effectiveness. Learn how formularies work, why some generics are approved and others aren't, and what you can do if yours is denied.

Medicare Part D Formularies: How Generic Coverage Works

Learn how Medicare Part D formularies cover generic drugs, how tiers affect your costs, and how the $2,000 out-of-pocket cap in 2025 saves beneficiaries money on prescriptions.