I contacted Valeree concerned that two of my drugs jumped to tier four. I told her these drugs are important and part of my daily life, Valaree suggested requesting the insurance company to reconsider, and put the drugs in a lower tier. She sent me the necessary forms for my doctor to complete, we submitted them for review, those drugs were lowered to tier one. I received a 143.00 refund on my first refill. Thanks, Boomer