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Heres an example of the tiers for a Medicare Part D plan: Tier 1: lowest copay and includes most generic prescription drugs Tier 2: medium copay and includes preferred, brand-name prescription drugs Tier 3: higher copay and includes non-preferred, brand-name prescription drugs Specialty tier: highest copay and includes very high cost prescription drugs Each state has a preferred drug list (PDL), which is a list of drugs and medications that Part D will reimburse without the need for prior authorization, usually generic versions of brand-name drugs

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