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Wednesday, January 25, 2017

VA Reducing Copays for Outpatient Medications

The VA announced last month that it is amending its current regulations governing copays for outpatient medications for veterans with conditions that are not service-connected.

Currently, veterans receiving healthcare for conditions that are not connected to service pay either $8 or $9 for a 30-day or less supply of medication.

This new regulation puts outpatient medications into 3 categories or tiers and sets the copays accordingly. The new copays, effective February 27, 2017, are as follows:

$5 for a 30-day or less supply of Tier 1 (preferred generics) medications
$8 for a 30-day or less supply of Tier 2 (non-preferred generics, including over the counter) medications
$11 for a 30-day or less supply of Tier 3 (brand name) medications

These changes will apply only to veterans receiving treatment for conditions that are not service-connected and who are not exempt from copayments.


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