Or, you and your physician may determine that staying on the brand name drug is most appropriate for your condition. In some cases, this may mean that you will need to continue to take a drug that has a higher copayment. For some prescriptions, I pay less than my copayment. If the cost of your prescription is less than the copayment based upon the tier placement of the drug, you will always pay the lesser amount. Maintenance medications are used to treat chronic medical conditions such as diabetes, high blood pressure, and asthma.
Refills are easy.
You can order refills 24 hours a day by phone, Internet, or mail. Mail order is not recommended for medications used to treat short-term medical conditions or medications with dispensing limitations. These drugs are not covered because there are safe, comparatively effective alternatives available or there are generic versions of the brand-name product available. All of the alternative and generic drug products are less expensive. If a physician believes that a member has a definite medical need to continue on the non-covered drug product, the physician can submit a request with relevant clinical information to Tufts Health Plan.