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The NMHC Preferred Drug List
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Click here to view the NMHC Preferred Drug List
NOTE:
- This Preferred Drug List (PDL) addresses only the most commonly used categories of
drugs. If you are taking a drug that is not listed on this PDL, please contact
NMHC Rx to determine its classification status. This is a current sample listing
that is subject to change during the year.
- This list is not all-inclusive and is not a guarantee of coverage. Certain drugs (*) may be
subject to Quantity Limits (QL) or Prior Authorization (PA) requirements according to
Benefit Design.
- Use of generic drugs can save you and your health plan money. Branded products with
an available generic equivalent may be subject to the highest co-payment according to
Benefit Design.
| FAQs about the Preferred Drug List (PDL): |
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What is a PDL?
The preferred drug list is a menu of preferred medications within selected drug
categories. A committee of practicing physicians and pharmacists evaluated all of the
medications in these categories. These “preferred drugs” are clinically efficacious, and
are the most cost effective medications in their class.
What is the purpose of the PDL?
Prescription drugs make up a higher percentage of total healthcare costs than ever
before. This situation has lead to higher premiums and/or restrictions on particular
services. Because of this, it is important for you to have tools that assist you in managing
your healthcare resources. The purpose of this preferred drug list is to offer you and your
healthcare providers a guide to obtaining quality drugs at the best price.
How does the PDL work?
Many health plans have 3 tiers of co-payments for prescription drugs. In these plans the
co-payment tiers are:
- Tier 1 – (lowest co-payment) – generic drugs**
- Tier 2 – (middle co-payment) – preferred brand name drugs
- Tier 3 – (highest co-payment) – non-preferred brand name drugs
By selecting generic products or preferred brand name drugs you may reduce your out-
of-pocket expense and save money for your health plan. If you’ve been prescribed, or
are currently taking, a non-preferred brand name drug you may want to ask your
physician if a "preferred" product is right for you.
Are generic drugs as effective as brand name drugs?
The Food and Drug Administration (FDA) requires that generic drugs be equal in
strength, form, and active components to their equivalent brand-name counterparts.
Generic drugs must go through strict testing before they can become available to you.
Additional questions?
Please contact our Customer Service department.
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