83 FR 8153 - Tiered Pharmacy Copayments for Medications Update

DEPARTMENT OF VETERANS AFFAIRS

Federal Register Volume 83, Issue 37 (February 23, 2018)

Page Range		8153-8154
FR Document		2018-03724
This Department of Veterans Affairs (VA) notice updates the information on Tier 1 medications.
Federal Register, Volume 83 Issue 37 (Friday, February 23, 2018)
[Federal Register Volume 83, Number 37 (Friday, February 23, 2018)]
[Notices]
[Pages 8153-8154]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2018-03724]


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DEPARTMENT OF VETERANS AFFAIRS


Tiered Pharmacy Copayments for Medications 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, 810 Vermont Avenue NW, Washington, DC 20420, 
Joseph.Duran2@va.gov, (303) 372-4629 (this is not a toll free number).

SUPPLEMENTARY INFORMATION: Section 17.110 of Title 38, Code of Federal 
Regulations, 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.''
    Section 17.110 provides that a list of Tier 1 medications will 
either be published as a notice in the Federal Register or will be 
posted on VA's website at www.va.gov/health at least once per year.
    Based on the methodologies set forth in Sec.  17.110, this notice 
updates the list of Tier 1 medications. 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 
paragraphs (b)(2)(i), (ii), and (iii) will be 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). As of the date of this 
notice, the Tier 1 medication list at individual VA medical facilities 
based on the methodologies in Sec.  17.110 will be posted on VA's 
website at www.va.gov/health under the heading ``Tier 1 Copay 
Medication List.''
    The following table is the Tier 1 Copay Medication List that is 
effective January 1, 2018, and will remain in effect until December 31, 
2018.

----------------------------------------------------------------------------------------------------------------
                Condition                                             VA product name
----------------------------------------------------------------------------------------------------------------
Arthritis & Pain........................  Aspirin buffered tablet.
                                          Aspirin chewable tablet.
                                          Aspirin enteric coated tablet.
                                          Allopurinol tablet.
                                          Diclofenac Sodium EC tablet.
                                          Ibuprofen tablet.
                                          Meloxicam tablet.
                                          Naproxen tablet.
Blood Thinners & Platelet Inhibitors....  Clopidogrel Bisulfate tablet.
                                          Warfarin Sodium tablet.
Bone Health.............................  Alendronate tablet.
Cholesterol.............................  Atorvastatin tablet.
                                          Gemfibrozil tablet.
                                          Lovastatin tablet.
                                          Niacin (Slo-Niacin) tablet.
                                          Pravastatin tablet.
                                          Simvastatin tablet.
Dementia................................  Donepezil tablet.
Diabetes................................  Glipizide tablet.
                                          Metformin HCL tablet.
                                          Metformin HCL 24hr (SA) tablet.
Electrolyte Supplement..................  Potassium SA tablet.
                                          Potassium SA Dispersible tablet.
Gastrointestinal Health.................  Omeprazole EC capsule.
                                          Pantoprazole Sodium EC capsule.
                                          Ranitidine tablet.

[[Page 8154]]

 
Glaucoma & Eye Care.....................  Brimonidine 0.2% solution.
                                          Dorzolamide 2%/Timolol 0.5% sol.
                                          Latanoprost 0.005% solution.
Heart Health & Blood Pressure...........  Amlodipine tablet.
                                          Aspirin (see Arthritis & Pain).
                                          Atenolol tablet.
                                          Carvedilol tablet.
                                          Chlorthalidone tablet.
                                          Clonidine tablet.
                                          Digoxin tablet.
                                          Diltiazem 24HR capsule.
                                          Diltiazem HCL tablet.
                                          Enalapril Maleate tablet.
                                          Furosemide tablet.
                                          Hydralazine HCL tablet.
                                          Hydrochlorothiazide tablet/capsule.
                                          Hydrochlorothiazide/Lisinopril tablet.
                                          Hydrochlorothiazide/Triamterene cap/tab.
                                          Isosorbide Mononitrate SA tablet.
                                          Lisinopril tablet.
                                          Losartan tablet.
                                          Metoprolol Succinate SA tablet.
                                          Metoprolol Tartrate tablet.
                                          Nifedipine SA capsule.
                                          Nitroglycerin sublingual tablet.
                                          Prazosin HCL capsule.
                                          Propranolol HCL tablet.
                                          Spironolactone tablet.
                                          Valsartan tablet.
                                          Verapamil HCL tablet.
                                          Verapamil HCL SA tablet.
Mental Health...........................  Bupropion HCL tablet.
                                          Bupropion HCL SA (12HR-SR) tablet.
                                          Bupropion HCL SA (24HR-XL) tablet.
                                          Buspirone HCL tablet.
                                          Citalopram Hydrobromide tablet.
                                          Duloxetine HCL EC capsule.
                                          Escitalopram Oxalate tablet.
                                          Fluoxetine capsule/tablets.
                                          Mirtazapine tablet.
                                          Paroxetine HCL tablet.
                                          Quetiapine Fumarate tablet.
                                          Risperidone tablet.
                                          Risperidone tablet, disintegrating.
                                          Sertraline HCL tablet.
                                          Trazodone tablet.
                                          Venlafaxine HCL tablet.
                                          Venlafaxine HCL SA tablet/cap.
Parkinson Diseases/Restless Legs          Carbidopa/Levodopa tablet.
 Syndrome.
Seizures................................  Gabapentin capsule.
                                          Lamotrigine tablet.
                                          Topiramate tablet.
Thyroid Conditions......................  Levothyroxine Sodium tablet.
Urologic (Bladder & Prostate) Health....  Alfuzosin HCL SA tablet.
                                          Doxazosin Mesylate tablet.
                                          Finasteride tablet.
                                          Oxybutynin Chloride tablet.
                                          Oxybutynin Chloride SA tablet.
                                          Tamsulosin HCL capsule.
                                          Terazosin HCL capsule.
----------------------------------------------------------------------------------------------------------------

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. Gina S. 
Farrisee, Deputy Chief of Staff, Department of Veterans Affairs, 
approved this document on February 12, 2018, for publication.

    Dated: February 12, 2018.
Jeffrey Martin,
Impact Analyst, Office of Regulation Policy & Management, Office of the 
Secretary, Department of Veterans Affairs.
[FR Doc. 2018-03724 Filed 2-22-18; 8:45 am]
 BILLING CODE 8320-01-P
Federal Register / Vol. 83, No. 37 / Friday, February 23, 2018 / Notices 8153

stress-testing information across Dated: February 15, 2018. veterans. Section 17.110 provides the
institutions. The change also would Karen Solomon, methodologies for establishing the
ensure that future collections of this Acting Senior Deputy Comptroller and Chief copayment amount for each 30-day or
information remain uniform across the Counsel, Office of the Comptroller of the less supply of medication provided by
agencies. Currency. VA on an outpatient basis (other than
With OMB approval, the first annual Board of Governors of the Federal Reserve medication administered during
filing deadline for the FFIEC 016 report System, February 12, 2018. treatment). ‘‘Tier 1 medication means a
form would be July 31, 2018, using Ann E. Misback, multi-source medication that has been
information as of December 31, 2017. Secretary of the Board. identified using the process described in
Dated at Washington, DC, on February 12, paragraph (b)(2) of this section.’’
II. Request for Comment
2018.
Public comment is requested on all Section 17.110 provides that a list of
Federal Deposit Insurance Corporation.
aspects of this joint notice. Comments Tier 1 medications will either be
Robert E. Feldman,
are specifically invited on: published as a notice in the Federal
Executive Secretary. Register or will be posted on VA’s
(a) Whether the collections of
[FR Doc. 2018–03736 Filed 2–22–18; 8:45 am] website at www.va.gov/health at least
information that are the subject of this
BILLING CODE 4810–33–P; 6210–01–P; 6714–01–P once per year.
notice are necessary for the proper
performance of the agencies’ functions, Based on the methodologies set forth
including whether the information has in § 17.110, this notice updates the list
practical utility; DEPARTMENT OF VETERANS
AFFAIRS of Tier 1 medications. Not less than
(b) The accuracy of the agencies’ once per year, VA will identify a subset
estimates of the burden of the of multi-source medications as Tier 1
Tiered Pharmacy Copayments for
information collections as they are medications. Only medications that
Medications Update
proposed to be revised, including the meet all of the criteria in paragraphs
validity of the methodology and AGENCY: Department of Veterans Affairs. (b)(2)(i), (ii), and (iii) will be eligible to
assumptions used; ACTION: Notice. be considered Tier 1 medications, and
(c) Ways to enhance the quality,
SUMMARY: This Department of Veterans only those medications that meet all of
utility, and clarity of the information to
Affairs (VA) notice updates the the criteria in paragraph (b)(2)(i) of this
be collected;
(d) Ways to minimize the burden of information on Tier 1 medications. section will be assessed using the
information collections on respondents, FOR FURTHER INFORMATION CONTACT:
criteria in paragraphs (b)(2)(ii) and (iii).
including through the use of automated Joseph Duran, Office of Community As of the date of this notice, the Tier 1
collection techniques or other forms of Care (10D), Veterans Health medication list at individual VA
information technology; and Administration (VHA), Department of medical facilities based on the
(e) Estimates of capital or start-up Veterans Affairs, 810 Vermont Avenue methodologies in § 17.110 will be
costs and costs of operation, NW, Washington, DC 20420, posted on VA’s website at www.va.gov/
maintenance, and purchase of services Joseph.Duran2@va.gov, (303) 372–4629 health under the heading ‘‘Tier 1 Copay
to provide the information. (this is not a toll free number). Medication List.’’
Comments submitted in response to SUPPLEMENTARY INFORMATION: Section The following table is the Tier 1
the joint notice will be shared among 17.110 of Title 38, Code of Federal Copay Medication List that is effective
the agencies. All comments will become Regulations, governs copayments for January 1, 2018, and will remain in
a matter of public record. medications that VA provides to effect until December 31, 2018.

Condition VA product name

Arthritis & Pain .............................................................................................................................. Aspirin buffered tablet.
Aspirin chewable tablet.
Aspirin enteric coated tablet.
Allopurinol tablet.
Diclofenac Sodium EC tablet.
Ibuprofen tablet.
Meloxicam tablet.
Naproxen tablet.
Blood Thinners & Platelet Inhibitors. ............................................................................................ Clopidogrel Bisulfate tablet.
Warfarin Sodium tablet.
Bone Health .................................................................................................................................. Alendronate tablet.
Cholesterol .................................................................................................................................... Atorvastatin tablet.
Gemfibrozil tablet.
Lovastatin tablet.
Niacin (Slo-Niacin) tablet.
Pravastatin tablet.
Simvastatin tablet.
Dementia ....................................................................................................................................... Donepezil tablet.
daltland on DSKBBV9HB2PROD with NOTICES

Diabetes ........................................................................................................................................ Glipizide tablet.
Metformin HCL tablet.
Metformin HCL 24hr (SA) tablet.
Electrolyte Supplement ................................................................................................................. Potassium SA tablet.
Potassium SA Dispersible tablet.
Gastrointestinal Health .................................................................................................................. Omeprazole EC capsule.
Pantoprazole Sodium EC capsule.
Ranitidine tablet.

VerDate Sep<11>2014 18:52 Feb 22, 2018 Jkt 244001 PO 00000 Frm 00109 Fmt 4703 Sfmt 4703 E:\FR\FM\23FEN1.SGM 23FEN1
8154 Federal Register / Vol. 83, No. 37 / Friday, February 23, 2018 / Notices

Condition VA product name

Glaucoma & Eye Care .................................................................................................................. Brimonidine 0.2% solution.
Dorzolamide 2%/Timolol 0.5% sol.
Latanoprost 0.005% solution.
Heart Health & Blood Pressure .................................................................................................... Amlodipine tablet.
Aspirin (see Arthritis & Pain).
Atenolol tablet.
Carvedilol tablet.
Chlorthalidone tablet.
Clonidine tablet.
Digoxin tablet.
Diltiazem 24HR capsule.
Diltiazem HCL tablet.
Enalapril Maleate tablet.
Furosemide tablet.
Hydralazine HCL tablet.
Hydrochlorothiazide tablet/capsule.
Hydrochlorothiazide/Lisinopril tablet.
Hydrochlorothiazide/Triamterene cap/tab.
Isosorbide Mononitrate SA tablet.
Lisinopril tablet.
Losartan tablet.
Metoprolol Succinate SA tablet.
Metoprolol Tartrate tablet.
Nifedipine SA capsule.
Nitroglycerin sublingual tablet.
Prazosin HCL capsule.
Propranolol HCL tablet.
Spironolactone tablet.
Valsartan tablet.
Verapamil HCL tablet.
Verapamil HCL SA tablet.
Mental Health ................................................................................................................................ Bupropion HCL tablet.
Bupropion HCL SA (12HR–SR) tablet.
Bupropion HCL SA (24HR–XL) tablet.
Buspirone HCL tablet.
Citalopram Hydrobromide tablet.
Duloxetine HCL EC capsule.
Escitalopram Oxalate tablet.
Fluoxetine capsule/tablets.
Mirtazapine tablet.
Paroxetine HCL tablet.
Quetiapine Fumarate tablet.
Risperidone tablet.
Risperidone tablet, disintegrating.
Sertraline HCL tablet.
Trazodone tablet.
Venlafaxine HCL tablet.
Venlafaxine HCL SA tablet/cap.
Parkinson Diseases/Restless Legs Syndrome ............................................................................. Carbidopa/Levodopa tablet.
Seizures ........................................................................................................................................ Gabapentin capsule.
Lamotrigine tablet.
Topiramate tablet.
Thyroid Conditions ........................................................................................................................ Levothyroxine Sodium tablet.
Urologic (Bladder & Prostate) Health. .......................................................................................... Alfuzosin HCL SA tablet.
Doxazosin Mesylate tablet.
Finasteride tablet.
Oxybutynin Chloride tablet.
Oxybutynin Chloride SA tablet.
Tamsulosin HCL capsule.
Terazosin HCL capsule.

Signing Authority Department of Veterans Affairs, Dated: February 12, 2018.
approved this document on February Jeffrey Martin,
The Secretary of Veterans Affairs, or 12, 2018, for publication. Impact Analyst, Office of Regulation Policy
daltland on DSKBBV9HB2PROD with NOTICES

designee, approved this document and
& Management, Office of the Secretary,
authorized the undersigned to sign and Department of Veterans Affairs.
submit the document to the Office of the [FR Doc. 2018–03724 Filed 2–22–18; 8:45 am]
Federal Register for publication
BILLING CODE 8320–01–P
electronically as an official document of
the Department of Veterans Affairs. Gina
S. Farrisee, Deputy Chief of Staff,

VerDate Sep<11>2014 18:52 Feb 22, 2018 Jkt 244001 PO 00000 Frm 00110 Fmt 4703 Sfmt 9990 E:\FR\FM\23FEN1.SGM 23FEN1
Document Created: 2018-02-23 01:32:31
Document Modified: 2018-02-23 01:32:31
Category		Regulatory Information
Collection		Federal Register
sudoc Class		AE 2.7: GS 4.107: AE 2.106:
Publisher		Office of the Federal Register, National Archives and Records Administration
Section		Notices
Action		Notice.
Contact		Joseph Duran, Office of Community Care (10D), Veterans Health Administration (VHA), Department of Veterans Affairs, 810 Vermont Avenue NW, Washington, DC 20420, [email protected], (303) 372-4629 (this is not a toll free number).
FR Citation		83 FR 8153