Updated research request forms and data security approval requirement effective 4/24/23
Each digit indicates the type of drug (e.g., "Generic", "Brand", etc.) included on the Part D formulary tier 1 through Tier 7 for the pre-initial coverage phase. A tier may include multiple drug types.
| Code | Code value |
|---|---|
| 1 in 1 | Non-Preferred Brand |
| 1 in 2 | Generic |
| 1 in 3 | Preferred Generic |
| 1 in 4 | Non-Preferred Generic |
| 1 in 5 | Brand |
| 1 in 6 | Preferred Brand |
| All 9's | Not Applicable |