Quick facts
Tier 0 - $0 cost share
$0
Tier 1B - low cost non-preferred generics
$ (low cost)
Tier 2 - mid-range brand/higher cost generics
$$ (mid-range)
Tier 3 - non-preferred brand
$$ (high cost)
Tier 4 - specialty medications
$$$ (highest cost)
Tier 5 - highest cost specialty medications
$$$ (highest cost)
Formulary type
6 Tier Standard Formulary (FL 6T STND) Effective 07/01/2026
Tier 1A - lowest cost preferred generics
$3* (select plans)
Carrier contact
1(855) OSCAR-88 — member services
Your member ID card: check the carrier website or app, or ask HR for a copy.
Plan documents
Confirm details with your carrier for current plan information.