Three-Tier Drug List

Three-Tier Drug List

Trust health plan members who have the Three-Tier Drug Plan can use this list to determine the copayment level for many prescription drugs. If you are unsure whether you have the Three-Tier Drug Plan, consult your Benefit Summary.

This guide lists commonly prescribed drugs, not every drug covered under the Three-Tier Drug Plan. If you are prescribed a drug that is not listed, please call our Customer Service Department at (800) 279-4000.

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download the full drug list in P D F format 

Download the full drug list (PDF, 200KB)