13018

Member for

7 years
Submitted by Site Factory admin on
Brand-Name Drugs Purchased When Generic Equivalent Available - When the member buys a covered drug, the pharmacist will provide a generic equivalent of the prescribed drug whenever it is allowed. If the member chooses to buy the brand-name drug instead of the generic drug equivalent, the member pays the brand-name copayment plus the difference between the cost of the brand-name drug and the generic drug equivalent. However, for certain brand-name drugs, the member only pays the same cost share (deductible, copayment, or coinsurance, whichever applies) that applies for the brand-name drug. (Refer to the Pharmacy Program booklet for more information.) For plans which include drug deductible, member pays the excess of the allowed charge amounts after the drug deductible amounts are met. All costs that are paid for these covered drugs, including excess charges, will count towards the member's out-of-pocket maximum.