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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To help manage the costs associated with prescription drugs, your benefits plan includes mandatory generic substitution.
The Prior Authorization Program helps to manage drug costs while continuing to provide you with access to appropriate drug therapy.
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?
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.