Prescription Drug Cost Management :
Pharmacy is expected to fully support Wattasmattau Pharmacy Benefits Management Company in its effort to manage its customers prescription drug costs. Participants copayments are often determined based on whether a generic, preferred brand or non-preferred brand is dispensed. Prescription drug costs can best be managed through the following action:
- Generic Drug Substitution - Dispense FDA-approved generic equivalent drugs whenever possible and in accordance with federal and state laws. Please maximize generic substitution, so that the Participant is not charged the difference plus his or her copayment. The lowest copayment is applicable when a generic is dispensed. Contact the prescriber if necessary in order to dispense a generic equivalent drug. Certain drugs with documented dosing problems should not be dispensed generically unless requested by the prescriber.
- Prescription Drug List Compliance - If a generic equivalent drug cannot be substituted, contact the prescriber to determine if a drug from the Prescription Drug List can be dispensed as an alternative.
- Prescriber "Dispense As Written" Prescriptions (DAW1) - If a prescription specifies "Dispense As Written," pharmacy may contact the prescriber to determine if a generic equivalent or drug from the Prescription Drug List can be dispensed as an alternative.
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