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.
Here’s an example1 of how mandatory generic substitution works:
|1Examples and pricing are based on the Ontario
market and provided by My drug plan tool. Prices
are estimates only, regional differences may vary,
and include some drug mark-ups. If you are
eligible for a dispensing fee, it will be included in
the drug cost shown in My drug plan.
2As per your benefits plan, you are reimbursed for
When filling a prescription – speak up!
In many provinces, pharmacists will automatically dispense the generic alternative as part of their standard practice unless the prescribing doctor has indicated that “no substitutions” should be made. If your doctor has indicated “no substitution,” you can ask your pharmacist to dispense the generic drug – or you can accept the brand-name drug and pay the price difference between the brand-name and the generic drugs.
Questions regarding your drug plan? You can contact OTIP Benefits Services at 18667836847.