{"id":631360,"date":"2025-02-11T16:53:18","date_gmt":"2025-02-11T21:53:18","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=631360"},"modified":"2025-02-11T16:53:18","modified_gmt":"2025-02-11T21:53:18","slug":"what-tier-drug-is-eliquis","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/what-tier-drug-is-eliquis\/","title":{"rendered":"What tier drug is Eliquis?"},"content":{"rendered":"

Eliquis<\/span><\/a> (apixaban) is a prescription blood thinner medication that is prescribed to reduce the risk of stroke and blood clots in people with a condition called atrial fibrillation (AFib) that is not caused by a heart valve problem. Eliquis is also prescribed to treat blood clots in the legs, known as deep vein thrombosis (DVT), and blood clots in the lungs, known as pulmonary embolism (PE). If your healthcare provider prescribes Eliquis, you may wonder which medical insurance tier it is on and how much you\u2019ll be expected to pay. But there\u2019s more to it than just the tier. We\u2019ll break down drug tiers and how insurance formularies treat Eliquis.\u00a0<\/span><\/p>\n

Understanding your drug formulary<\/span><\/h2>\n

A <\/span>formulary<\/span><\/a> is a list of drugs that are covered by your insurance company, whether it\u2019s commercial health insurance, <\/span>Medicare<\/span><\/a>, or Medicaid. Drugs are placed in tiers, and the higher the tier, the more expensive the drug is for the patient. Some drug formularies may have only three tiers, while others may have up to five. Tier 1 drugs are typically generic and have the lowest copay that the patient is expected to pay. The middle tiers may include a mix of generics, preferred brands, and nonpreferred brands. The highest tier typically includes nonpreferred, brand, and specialty drugs. The highest tier will have the highest out-of-pocket cost for the patient.\u00a0<\/span><\/p>\n

What drug tier is Eliquis on?<\/span><\/h2>\n

Eliquis is on Tier 2 of many prescription drug plans, but some insurances place it on Tier 1 or Tier 3. For any drug, the tier it is placed on may vary from one insurance company to the next, and even between plans from the same company. Insurances change which tier medication is on at different times, so the cost from the pharmacy can change throughout the calendar year. <\/span>This United HealthCare Medicare plan<\/span><\/a> places Eliquis in Tier 3. In contrast, <\/span>this Anthem Blue Cross Blue Shield preferred drug list<\/span><\/a> has Eliquis listed as a Tier 2 drug.\u00a0<\/span><\/p>\n

Since insurance coverage varies widely, it may help instead to get an idea of what you can expect to pay for Eliquis. According to <\/span>Bristol-Myers Squibb Company<\/span><\/a>, the drug\u2019s manufacturer, most people pay the following:<\/span><\/p>\n