Many states have implemented bills that limit the amount that an insurance company can charge for drugs placed on a specialty tier to between $100 and $150 per month.

Click here to see the most current list of state specialty tiers bills.

Looking to advocate for a bill in your state? Use our Specialty Tiers toolkit:


HFA Issue Brief on Specialty Tiers
(Updated for 2016)
HFA Specialty Tiers Talking Points for States HFA Specialty Tiers Talking Points for States
FairCopayVa Fair Copay VA
The Virginia movement to implement specialty tiers legislation.
Delaware Specialty Tier Delaware Report to Special Assembly: Specialty Tier Prescription Drugs
The study from Delaware in 2011 that assessed the impact of Specialty Tiers. Many new tiering bills are based on the success in Delaware.

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