Can my health plan deny coverage for brand name drugs? What other limits can it impose?
A. Your plan can deny coverage for brand names drugs if generic drugs are available. Your plan may also have limits on the quantity of medication dispensed at one time. The typical benefit will allow up to a 30-day supply or one pre-packaged item for one copayment. Many plans offer tiers in which there is a higher copay for brand name drugs vs. generic drugs.
Related Questions
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