A generic drug is identical to a brand name drug in safety,
strength, quality and performance. The generic drug substitution program
requires that generic drugs be dispensed. Therefore, if a beneficiary chooses a
brand name drug when a generic drug is available, they will need to pay the
difference between the costs of the brand name drug and the generic drug.
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 as to
why the generic medication should not be dispensed. If approved, the
beneficiary will not pay the difference between the brand name drug and the
Review Generic Specialty Preferred Product Drug List here.
Review Medical Necessity Form here.