Under Standard Option, your coinsurance will be waived for the first 4 generic prescriptions filled (and/or refills ordered) per drug per calendar year if you purchase a brand-name drug listed below while a member of the Service Benefit Plan and then change to a corresponding generic drug replacement while still a member of the Plan.
Your 20% coinsurance amount is waived for the first 4 generic drug replacements filled (and/or refills ordered) per drug per calendar year. You may receive up to 4 coinsurance waivers per drug change per year.
If you switch from one generic drug to another, you will be responsible for 20% of the Plan allowance as shown on page 93 of the 2010 Service Benefit Plan Brochure.
Both the brand-name drug and its corresponding generic drug replacement must be purchased during the same calendar year.
| If you take one of these brand-name drugs... |
And change to one of these generic drug replacements... |
You will receive your first 4 prescription fills (or refills) of the corresponding generic drug at no charge. (Please see the Preferred Retail Pharmacy Generic Incentive Program description above for complete information.) |
|---|---|---|
| Actonel | alendronate | |
| Boniva | ||
| Fosamax | ||
| Aciphex | omeprazole | |
| Kapidex | ||
| Ambien CR | zaleplon, zolpidem | |
| Lunesta | ||
| Rozerem | ||
| Beconase AQ | fluticasone | |
| Nasacort AQ | ||
| Nasonex | ||
| Rhinocort Aqua | ||
| Veramyst | ||
| Crestor | simvastatin, pravastatin, or lovastatin | |
| Vytorin | ||
| Toprol XL | metoprolol SR |
Please note the list of eligible generic drug replacements may change if additional generic drugs corresponding to the listed brand- name drugs become available during the year. For the most up-to-date information, please visit our Retail Pharmacy Program Web site through www.fepblue.org.