Federal Register - March 4, 2021
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Source: Federal Register
Federal Register / Vol. 86, No. 41 / Thursday, March 4, 2021 / Notices This Department of Veterans Affairs VA Notice updates the information on Tier 1 medications.
SUMMARY:
FOR FURTHER INFORMATION CONTACT:
Joseph Duran, Office of Community Care, Veterans Health Administration, Department of Veterans Affairs, 810
Vermont Avenue NW, Washington, DC
20420; Joseph.Duran2@va.gov; 303
3701637. This is not a toll-free number.
Section 17.110 of title 38, CFR, governs copayments for medications that VA
provides to veterans. Section 17.110
provides the methodologies for establishing the copayment amount for
SUPPLEMENTARY INFORMATION:
each 30-day or less supply of medication provided by VA on an outpatient basis other than medication administered during treatment.
Tier 1 medication means a multisource medication that has been identified using the process described in paragraph b2 of this section. Not less than once per year, VA will identify a subset of multi-source medications as Tier 1 medications. Only medications that meet all of the criteria in 38 CFR
17.110b2i, ii, and iii will be eligible to be considered Tier 1
medications, and only those medications that meet all of the criteria in paragraph b2i of this section will
Condition
Blood Thinners and Platelet Inhibitors
Bone Health
Cholesterol
Dementia
Diabetes
Electrolyte Supplement
Gastrointestinal Health
Glaucoma and Eye Care
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Heart Health and Blood Pressure
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20:27 Mar 03, 2021
be assessed using the criteria in paragraphs b2ii and iii.
Based on the methodologies set forth in 17.110, this notice updates the list of Tier 1 medications for Calendar Year 2021. The Tier 1 medication list is posted on VAs Community Care website at the following link: https
www.va.gov/COMMUNITYCARE/
revenue_ops/copays.asp under the heading Tier 1 Copay Medication List.
The following table is the Tier 1
Copay Medication List that is effective January 1, 2021 and will remain in effect until December 31, 2021.
VA product name
Arthritis and Pain
Jkt 253001
Aspirin Buffered Tablet.
Aspirin Chewable Tablet.
Aspirin Enteric Coated Tablet.
Allopurinol Tablet.
Celecoxib Capsule.
Diclofenac Tablet.
Ibuprofen Tablet.
Meloxicam Tablet.
Naproxen Tablet.
Clopidogrel Bisulfate Tablet.
Warfarin Sodium Tablet.
Alendronate Tablet.
Atorvastatin Tablet.
Ezetimibe Tablet.
Pravastatin Tablet.
Rosuvastatin Calcium Tablet.
Simvastatin Tablet.
Donepezil Tablet.
Glimepiride Tablet.
Glipizide Tablet.
Metformin Hydrochloride HCL Tablet.
Metformin HCL 24-Hour Sustained Action SA Tablet.
Pioglitazone HCL Tablet.
Potassium SA Tablet.
Potassium SA dispersible Tablet.
Famotidine Tablet.
Omeprazole Enteric Coated EC Capsule.
Pantoprazole Sodium EC Capsule.
Diclofenac Solution.
Dorzolamide 2%/Timolol 0.5% Solution.
Latanoprost 0.005% Solution.
Polyethylene Glycol 400/Polyethylene Glycol 4000 Solution.
Carboxymethylcellulose Sodium Solution.
Amlodipine Tablet.
Amiodarone HCL Tablet.
Aspirin see Arthritis and Pain.
Atenolol Tablet.
Carvedilol Tablet.
ChlorthalidoneTablet.
Clonidine Tablet.
Diltiazem 24-Hour Capsule.
Diltiazem HCL Tablet.
Enalapril Maleate Tablet.
Furosemide Tablet.
Hydralazine HCL Tablet.
Hydrochlorothiazide Tablet/Capsule.
Hydrochlorothiazide/Lisinopril Tablet.
Hydrochlorothiazide/Losartan Tablet.
Hydrochlorothiazide/Triamterene Tablet/Capsule.
Isosorbide Mononitrate SA Tablet.
Lisinopril Tablet.
Losartan Tablet.
Metoprolol Succinate SA Tablet.
Metoprolol Tartrate Tablet.
Nifedipine SA Capsule.
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