[Federal Register Volume 85, Number 39 (Thursday, February 27, 2020)]
[Notices]
[Pages 11454-11455]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2020-03834]


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DEPARTMENT OF VETERANS AFFAIRS


Tiered Pharmacy Copayments for Medications; Calendar Year 2020 
Update

AGENCY: Department of Veterans Affairs.

ACTION: Notice.

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SUMMARY: This Department of Veterans Affairs (VA) Notice updates the 
information on Tier 1 medications.

FOR FURTHER INFORMATION CONTACT: Joseph Duran, Office of Community Care 
(10D), Veterans Health Administration (VHA), Department of Veterans 
Affairs, Ptarmigan at Cherry Creek, Denver, CO 80209; 
[email protected]; telephone: (303) 370-1637 (this is not a toll-
free number).

SUPPLEMENTARY INFORMATION: 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 
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 multi-source medication that has been 
identified using the process described in paragraph (b)(2) 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 17.110(b)(2)(i), (ii), and (iii) 
will be

[[Page 11455]]

eligible to be considered Tier 1 medications; and only those 
medications that meet all of the criteria in paragraph (b)(2)(i) of 
this section will be assessed using the criteria in paragraphs 
(b)(2)(ii) and (iii).
    Based on the methodologies set forth in Sec.  17.110, this Notice 
updates the list of Tier 1 medications for Calendar Year 2020. The Tier 
1 medication list is posted on VA's Community Care website at: 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, 2020 and will remain in effect until December 31, 
2020.

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                  Condition                         VA product name
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Arthritis and Pain...........................  Aspirin Buffered Tablet,
                                                Aspirin Chewable Tablet,
                                                Aspirin Enteric Coated
                                                Tablet, Allopurinol
                                                Tablet, Celecoxib
                                                Capsule, Diclofenac
                                                Tablet, Ibuprofen
                                                Tablet, Meloxicam
                                                Tablet, Naproxen Tablet.
Blood Thinners and Platelet Inhibitors.......  Clopidogrel Bisulfate
                                                Tablet, Warfarin Sodium
                                                Tablet.
Bone Health..................................  Alendronate Tablet.
Cholesterol..................................  Atorvastatin Tablet,
                                                Gemfibrozil Tablet,
                                                Lovastatin Tablet,
                                                Pravastatin Tablet,
                                                Rosuvastatin Calcium
                                                Tablet, Simvastatin
                                                Tablet.
Dementia.....................................  Donepezil Tablet.
Diabetes.....................................  Glimepiride Tablet,
                                                Glipizide Tablet,
                                                Metformin Hydrochloride
                                                (HCL) Tablet, Metformin
                                                HCL 24-hour Sustained
                                                Action (SA) Tablet,
                                                Pioglitazone HCL Tablet.
Dizziness (Vertigo)..........................  Meclizine HCL Tablet,
                                                Meclizine HCL Chewable
                                                Tablet.
Electrolyte Supplement.......................  Potassium SA Tablet,
                                                Potassium SA Dispersible
                                                Tablet.
Gastrointestinal Health......................  Omeprazole Enteric Coated
                                                (EC) Capsule,
                                                Pantoprazole Sodium EC
                                                Capsule, Ranitidine
                                                Tablet.
Glaucoma and Eye Care........................  Diclofenac 0.1% Solution,
                                                Dorzolamide 2%/Timolol
                                                0.5% Solution,
                                                Latanoprost 0.005%
                                                Solution, PEG-400 0.4%/
                                                Propylene Glycol 0.3%
                                                Solution.
Heart Health and Blood Pressure..............  Amlodipine Tablet,
                                                Amiodarone HCL Tablet,
                                                Aspirin (see Arthritis
                                                and Pain), Atenolol
                                                Tablet, Benazepril
                                                Tablet, Carvedilol
                                                Tablet, Chlorthalidone
                                                Tablet, Clonidine
                                                Tablet, Diltiazem 24-
                                                hour Capsule, Diltiazem
                                                HCL Tablet, Enalapril
                                                Maleate Tablet,
                                                Furosemide Tablet,
                                                Hydrochlorothiazide
                                                Capsule/Tablet,
                                                Hydrochlorothiazide/
                                                Lisinopril Tablet,
                                                Hydrochlorothiazide/
                                                Losartan Tablet,
                                                Hydrochlorothiazide/
                                                Triamterene Capsule/
                                                Tablet, Isosorbide
                                                Mononitrate SA Tablet,
                                                Lisinopril Tablet,
                                                Losartan Tablet,
                                                Metoprolol Succinate SA
                                                Tablet, Metoprolol
                                                Tartrate Tablet,
                                                Nifedipine SA Tablet,
                                                Nitroglycerin Sublingual
                                                Tablet, Prazosin HCL
                                                Capsule, Propranolol HCL
                                                Tablet, Spironolactone
                                                Tablet, Verapamil HCL
                                                Tablet, Verapamil HCL SA
                                                Tablet.
Mental Health................................  Amitriptyline HCL Tablet,
                                                Bupropion HCL Tablet,
                                                Bupropion HCL SA (12HR-
                                                SR) Tablet, Bupropion
                                                HCL SA (24HR-XL) Tablet,
                                                Citalopram Hydrobromide
                                                Tablet, Duloxetine HCL
                                                EC Capsule, Escitalopram
                                                Oxalate Tablet,
                                                Fluoxetine Capsule/
                                                Tablet, Lithium
                                                Carbonate Capsule/
                                                Tablet, Mirtazapine
                                                Tablet, Paroxetine HCL
                                                Tablet, Sertraline HCL
                                                Tablet, Trazodone
                                                Tablet.
Respiratory Condition........................  Montelukast NA Tablet.
Seizures.....................................  Gabapentin Capsule/
                                                Tablet, Lamotrigine
                                                Tablet, Topiramate
                                                Tablet.
Thyroid Conditions...........................  Levothyroxine Sodium
                                                Tablet.
Urologic (Bladder and Prostate) Health.......  Alfuzosin HCL SA Tablet,
                                                Doxazosin Mesylate
                                                Tablet, Finasteride
                                                Tablet, Sildenafil
                                                Tablet, Tamsulosin HCL
                                                Capsule, Terazosin HCL
                                                Capsule.
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Signing Authority

    The Secretary of Veterans Affairs, or designee, approved this 
document and authorized the undersigned to sign and submit the document 
to the Office of the Federal Register for publication electronically as 
an official document of the Department of Veterans Affairs. Pamela 
Powers, Chief of Staff, Department of Veterans Affairs, approved this 
document on February 19, 2020, for publication.

Luvenia Potts,
Regulation Development Coordinator, Office of Regulation Policy & 
Management, Office of the Secretary, Department of Veterans Affairs.
[FR Doc. 2020-03834 Filed 2-26-20; 8:45 am]
BILLING CODE 8320-01-P