A generic drug must have the same active-ingredient formula as its brand-name equivalent. Generic drugs usually cost less than brand-name drugs.
While we encourage you to use generic drugs when possible to help you save money, you’re not required to do so. However, if there’s a generic equivalent available, you must pay the difference between the cost of the two drugs plus your co-payment or co-insurance. If your provider requests a brand-name drug over a generic drug, and we determine that the brand-name version is medically necessary, you are not required to pay the difference.
Please note: this approach to prescription drug costs is not available to all groups, and exceptions apply.
For details on how this applies to your plan, sign into your MVP Member online account, then click My Plan then Manage Prescriptions. Or call the MVP Customer Care Center at the number on the back of your MVP Member ID card.