Formulary Tier Types - United States
FO.04 Tier 4 - Non-Preferred Brand
Formulary Tier classification code FO.04 covers "Tier 4 - Non-Preferred Brand" at level 2 of the Formulary Tier hierarchy.
Level 2
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- >>FO.04 Tier 4 - Non-Preferred Brand
- >>FO.04 Tier 4 - Non-Preferred Brand
Other Formulary Tier codes under FO.04 Tier 4 - Non-Preferred Brand
- FO.01Tier 1 - Preferred Generic
- FO.02Tier 2 - Generic
- FO.03Tier 3 - Preferred Brand
- FO.05Tier 5 - Specialty
- FO.06Tier 6 - Specialty (High Cost)
- FO.07Prior Authorization Required
- FO.08Step Therapy Required
- FO.09Quantity Limit
- FO.10Over-the-Counter (OTC)
- FO.11Preventive Drug List
- FO.12Specialty Mail Order
- FO.13Limited Distribution
- FO.14Formulary Exception
Frequently asked questions
- What is Formulary Tier FO.04?
- Formulary Tier FO.04 is "Tier 4 - Non-Preferred Brand". Formulary Tier code FO.04 covers "Tier 4 - Non-Preferred Brand" at level 2 of the Formulary Tier hierarchy.
- What is the parent category of FO.04?
- FO.04 Tier 4 - Non-Preferred Brand sits under FO.04 Tier 4 - Non-Preferred Brand in the Formulary Tier hierarchy.
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