What if I cannot take a generic medication that is on the preferred drug list? Can I still take a brand name drug for the generic copay?
? We recognize that a number of patient-specific variables, which are not available to us, must be taken into consideration when a provider prescribes any medication. We also believe that providers are best qualified to balance their patients’ quality and cost-of care considerations in choosing the most appropriate medications. However, copays are set for each medication and are not adjusted for patient-specific cases. The Plan strives to maintain the most affordable and clinically effective Preferred Drug List for its members. Members and their providers have a choice of using drugs on the preferred list, whenever appropriate. Members should take their PDL with them to every provider visit in order to make the most informed choices.
Related Questions
- 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?
- What if I cannot take a generic medication that is on the preferred drug list? Can I still take a brand name drug for the generic copay?
- Does a generic drug look different than the corresponding brand name medication?
