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The HNE Performance Formulary is our innovative, 2-Tier pharmacy benefit. Tier 1 includes all generic drugs. Tier 2 includes specific brand name drugs carefully selected based on clinical efficacy and cost efficiency. When we designed this formulary, we made sure that at least one medication is available to treat each disease state.
If a medication is not listed in the HNE Performance Formulary, members can get the medication at a participating pharmacy for the HNE drug discount rate. The discount rate varies by the particular drug, but in general is between 10% and 30% of the retail cost.
- 70% of the prescription drugs HNE members purchase today are already available as generics.
- The HNE Performance Formulary includes all therapeutic classes
Exclusions and Limitations
The HNE Performance Formulary also includes some drug specific exclusions and limitations. These are described below in general terms. For information specific to your plan, you can log in to HNEDirect where you can get a copy of your member agreement. Or, contact HNE Member Services.
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