Resources

Help protect your benefits

December 19, 2018

As we approach the end of the year, please be mindful of some service providers’ marketing campaigns 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 […]

Are generics just as good as the brand-name drugs?

December 19, 2018

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. 1 Brand-name and generic drugs have one important thing in […]

What is the Prior Authorization Program?

December 19, 2018

Your benefits plan is designed to provide you and your family with financial protection for a variety of medical expenses, including prescription drugs. The Prior Authorization Program helps to manage drug costs while continuing to provide you with access to appropriate drug therapy. The program validates that the drug is prescribed for its intended use […]

What is mandatory generic substitution?

December 19, 2018

To help manage the costs associated with prescription drugs, your benefits plan includes mandatory generic substitution. With a mandatory generic drug plan, any prescribed drug cost cannot exceed the price of the lower cost alternative drug, which is typically a “generic” drug. If the drug you are prescribed is a “brand-name drug,” and there is […]

Understanding limits on pharmacy mark-ups and dispensing fees

December 19, 2018

Your pay-direct benefits card makes it easy and convenient when filling a prescription. Your drug claim gets processed right at the pharmacist’s counter and instantly you are told the amount paid by your plan and any amount owing. How did the pharmacy determine this amount for your drugs? Why is it important to have limits […]

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