Your Benefits Newsletter – Winter 2018-2019

December 20, 2018

Are generics just as good as the brand name?

Myth: Brand-name drugs are safer and more effective than generic drugs.

Fact: Generic drugs are as safe and effective as brand-name drugs. In fact, they are equivalent to the brand version in dosage, safety, strength, quality, the way they work and the way they’re taken.

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OTIP Corner

Updating your preferred email address

Don’t miss out on plan updates, claim notifications or the next issue of Your Benefits newsletter. Enter your personal email address in My Benefits and My Claims as the “preferred email address”.

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What is mandatory generic substitution?

To help manage the costs associated with prescription drugs, your benefits plan includes mandatory generic substitution.

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What is the Prior Authorization Program?

The Prior Authorization Program helps to manage drug costs while continuing to provide you with access to appropriate drug therapy.

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Understanding limits on pharmacy mark-ups and dispensing fees

How does the pharmacy determine the amount paid by your plan and any amount owing for your drugs? Why is it important to have limits on pharmacy mark-ups and dispensing fees?

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Help protect your benefits

As we approach the end of the year, please be mindful of some service providers’ marketing campaign to ‘use it or lose it’. These campaigns are designed to serve the providers who promote them; however, using benefits that are not medically necessary does not serve to protect the overall health of your plan.

Benefits like massage therapy and orthotics have balances that reset every benefit year to ensure proper care as necessary for plan members and their families. However, if it is not medically necessary, maximizing all of your benefits will negatively impact the long-term sustainability of the benefits plan, and may affect everyone’s ability to access necessary benefits in the future. Therefore, your responsible use of the plan is in the best interests of yourself, your family and fellow plan members.

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