The HealthWATCH® drug plan
The HealthWATCH® drug plan is a core component of your company’s overall health benefits package. The plan categorizes traditional drugs based on a combination of cost and efficacy of the drug, with a policy that supports the use of biosimilars.
The HealthWATCH® drug plan team, which includes pharmacists, leads the decision-making process, guided by the advice of a Clinical Advisory Board.
The Clinical Advisory Board considers medications according to:
An economic and cost comparison
Overall impact on the drug plan
Ultimately, their goal is to use a plan member-first approach to find the right balance between drug plan affordability, and helping to keep employees healthy and at work.
The HealthWATCH® drug plan offers two levels of drug coverage, called "tiers":
- Includes most generics and some brand name drugs that are more cost-effective
- Includes some generics and brands (with or without generics) which the HealthWATCH® drug plan team has determined do not demonstrate additional clinical benefit relative to their cost, when compared to Tier 1 drug options that treat the same condition
Not yet listed
Not yet listed
Some medications are not listed on either tier 1 or tier 2 because the plan already covers other more cost-effective drugs for the condition, or there are therapies available without a prescription.
Our Drug Search tool lets plan members find out their drug coverage.
With our online Drug Search tool, plan members can search for their medication to understand coverage under the HealthWATCH® drug plan.
If their medication is on Tier 2 or Not Yet Listed, the Drug Search tool suggests Tier 1 alternatives that they can discuss with their healthcare professional.