2025 Medicare Part D Formulary Tiers
There are five “cost-sharing tiers” for drugs on SCAN’s Formulary (list of covered drugs). Every drug on the Formulary is in one of five cost-sharing tiers. In general, the higher the cost-sharing tier, the higher your cost for the drug.
Cost-Sharing Tier 1: Preferred Generic
This tier includes generic drugs (the lowest tier).
Cost-Sharing Tier 2: Generic
This tier includes generic drugs.
Cost-Sharing Tier 3: Preferred Brand
This tier includes Insulin, other brand drugs and some generic drugs.
Cost-Sharing Tier 4: Non-Preferred Drug
This tier includes brand drugs and some generic drugs.
Cost-Sharing Tier 5: Specialty Tier
This tier includes specialty drugs (the highest tier).
To find out which cost-sharing tier your drug is in, look it up in the SCAN Formulary.
The Formulary is updated monthly. The most up-to-date list of covered drugs is available on our website. If you have any questions, please call SCAN Member Services.