Page 9 - Hussmann- OE Guide
P. 9
Hussmann Corporation
Mandatory Generics
If you purchase a brand-name drug when an equivalent generic is
available, you will pay the generic copay PLUS the difference between
the retail cost of the brand drug and the generic drug, as illustrated
below in an example using popular cholesterol medications. An
exception applies when your doctor certiies that you have tried the
generic equivalent and cannot use it for medical reasons.
Retail Cost to
Medication Cost Participant Explanation
Generic: $52 $6 Flat generic copayment
Simvastatin
Brand Name: $99 $53 Mandatory Generic Drug Rule Applies:
Zocor X Generic copayment of $6
X Difference between retail cost of
brand and generic ($99-$52)=$47
X Your cost: $6 + $47 = $53
Additional Pharmacy Information
Some prescription drugs may require authorization before they can
be dispensed. Check with CVS Caremark to determine if the prior
authorization is required.
X Not all prescription medications are covered by the plan. For
example, certain cosmetic and lifestyle medications are not covered.
Check with CVS Caremark for coverage details.
X You have access to several network pharmacies with CVS
Caremark, not just CVS.
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Mandatory Generics
If you purchase a brand-name drug when an equivalent generic is
available, you will pay the generic copay PLUS the difference between
the retail cost of the brand drug and the generic drug, as illustrated
below in an example using popular cholesterol medications. An
exception applies when your doctor certiies that you have tried the
generic equivalent and cannot use it for medical reasons.
Retail Cost to
Medication Cost Participant Explanation
Generic: $52 $6 Flat generic copayment
Simvastatin
Brand Name: $99 $53 Mandatory Generic Drug Rule Applies:
Zocor X Generic copayment of $6
X Difference between retail cost of
brand and generic ($99-$52)=$47
X Your cost: $6 + $47 = $53
Additional Pharmacy Information
Some prescription drugs may require authorization before they can
be dispensed. Check with CVS Caremark to determine if the prior
authorization is required.
X Not all prescription medications are covered by the plan. For
example, certain cosmetic and lifestyle medications are not covered.
Check with CVS Caremark for coverage details.
X You have access to several network pharmacies with CVS
Caremark, not just CVS.
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