Results for Prescription Drugs
A brand penalty is what you pay if you choose to fill your prescription with the brand name drug instead of the available direct generic version. The penalty amount is the difference between what the brand name drug costs and what the generic drug costs.
If you are prescribed a drug that does not have a generic version and is not on the indirect generic list, you will not be charged the brand penalty for filling that brand name drug.
Brand Penalty Does Not Count Toward Deductible or Out-of-Pocket Maximum
The brand penalty, or cost you pay for filling the brand name drug versus the generic drug, does not count toward your deductible or out-of-pocket maximum.
About Indirect Generics
If you submit a brand name prescription and there is not a generic version available for that brand name drug, you may need to try either an indirect generic or preferred brand name drug. Ask your pharmacist to contact your doctor and request a prescription for another medication that treats the same condition.