When is a MILA participant responsible for paying the co-pay for a brand name medication which has a generic substitute?
After a MILA participant has paid the $500 deductible, the MILA participant will be responsible for paying the co-pays on each brand name prescription which has a generic substitute. The MILA participant is always required to pay the co-pay on any brand name medication which does not have a generic substitute. 18. If a MILA participant fills a prescription for a brand name medication which has a generic substitute at a pharmacy which is not part of the CAREMARK network, how does the participant get credit for the amount he or she paid against the $500 deductible? The MILA participant must send CAREMARK the receipt he/she received when the prescription was filled along with a copy of the CAREMARK claim form. The receipt must contain the prescription number, the name of the medication, the quantity dispensed, the date the prescription was filled and the cost of each prescription. After CAREMARK receives the receipt, the participant will receive a credit against the deductible which will
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