Generic Substitution Program
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UMWA Health and Retirement Funds

Generic Substitution Program

Generic drugs are products that are comparable to a brand-name drug in dosage form, strength, route of administration, quality, performance characteristics, and intended use. Generics are usually available at a significant cost-savings compared to the brand-name drug. The generic drug substitution program requires that generic drugs be dispensed when available. A beneficiary who chooses a brand name drug when a generic is available, will have to pay the difference between the cost of the brand name drug and the generic drug plus the standard copayment.


If a beneficiary has already tried and cannot take the generic drug due to a specific medical reason(s), their doctor should fax a letter of medical necessity to 1-888-487-9257 to provide medical information concerning why the generic medication should not be dispensed.  If the exception request is approved, the beneficiary will only pay the standard copayment. Please see link below.​ 


Generic Specialty Preferred Product Drug List here​​​​​​​​

Medical Necessity Form here​.​​​​