A non-preferred drug is a medication that has been determined to have an alternative drug available that is clinically equivalent. If I am taking a brand name drug when a generic equivalent is available, at what co-payment level will this drug be available?
Generic drugs on the formulary will be subject to tier one co-payment, while their brand name equivalents will be subject to third-tier co-payment provided your doctor specifies “dispense as written’ (DAW) on your prescription. If your doctor does not specify DAW and you request a brand name drug, you will pay the difference in cost between the generic and brand in addition to the applicable co-pay.
