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BCBC drug tiers may include: Tier 1: typically includes preferred generic drugs Tier 2: typically includes non-preferred generic drugs Tier 3: typically includes preferred brand-name drugs Tier 4: typically includes non-preferred brand-name drugs Tier 5: typically includes specialty drugs Tier 6: typically includes non-preferred specialty drugs Its also possible that your BCBS plan may include drug tiers such as: Tier 1: generic drugs and lower-cost preferred brand-name drugs Tier 2: non-preferred generic drugs or preferred brand-name drugs Tier 3: non-preferred brand-name drugs or drugs that have a lower-cost equivalent on a lower drug tier Tier 4: specialty drugs Ozempic is frequently placed in Tier 3 on the BlueMedicare PPO Enhanced plan provided by BlueCross BlueShield of North Carolina and is placed as a Tier 2 Preferred Brand drug on various HMO and PPO plans provided by Blue Shield of California