How much will I pay for my medications?

Updated on: October 24, 2018

Originally posted on: October 1, 2014

What you pay for your medications will depend on the drug tier your medication falls on. Most plans have 4 or 5 tiers (or levels). Your cost-share (copayment or coinsurance) for each tier is determined by your plan. Drugs in Tiers 1 and 2 are typically generic drugs that will be lower in cost and have a fixed cost or copayment. Brand-name and specialty medications will be in higher tiers and require you to pay a coinsurance amount. This is usually a percentage of the drug cost and depending on the tier and the medication what you will pay can vary.