TIER 3 - NONFORMULARY BRAND NAME DRUG*
BRAND NAME DRUG WITH AVAILABLE GENERIC DRUG*
* Sav-Rx will provide the available therapeutic alternative(s) or the available generic alternative(s). If one has not been provided, Sav-Rx recommends that you discuss your treatment with your physician. You may also contact Sav-Rx to discuss possible alternatives that may be suitable for you.
If you can't find your drug, please call we will find it for you.
Co-Payment tier level and formulary status do not indicate coverage and benefit limitations for your plan. Please contact Sav-Rx to confirm your coverage.