Generic Substitution Sample Clauses

Generic Substitution. If a brand is dispensed when there’s a generic equivalent available, the member will be responsible for the brand copayment plus the difference in cost between the brand and the generic drug.

Generic Substitution. The maximum amount payable for an eligible brand name drug will be limited to the lowest priced item in the appropriate generic category. No benefit is payable for the portion of expenses for which reimbursement is provided by a government expenses for drugs which, in Mutual's opinion, are experimental, expenses for dietary supplements, vitamins and infant foods, expenses for contraceptives (other than oral), expenses for smoking cessation aids, expenses for drugs if they are used for the treatment of infertility, the yearly or per prescription deductible on drugs that are eligible under the Ontario Drug Benefit plan and are purchased by you or your insured spouse who is age or over. Extended Health Primary and Secondary Pay Direct Drug Benefit May Eligible expenses mean reasonable and customary charges for the following items of expense eye examinations by an optometrist, but for not more than one examination in a period of months (12 months for a dependent child under age 18); eyeglasses and contact lenses provided such appliances are necessary for the correction of vision and are prescribed by an ophthalmologist or optometrist, and repairs to such appliances, subject to maximum total eligible expenses of during the month period ending on the date an eligible expense for such appliances is incurred; eyeglasses and contact lenses where an ophthalmologist certifies that such appliances are necessary as a result of a surgical procedure or for the treat- ment of keratoconus subject to maximum total lifetime eligible expenses of in respect of any one surgical procedure or for the treatment of keratoconus.

Generic Substitution. The drug plan will be modified as necessary to require generic substitution for drugs covered by the plan unless otherwise prescribed by the employee's doctor.

Generic Substitution. When there is a generic version of a brand-name drug available, our network pharmacies may recommend and/or provide you the generic version, unless your doctor has told us that you must take the brand- name drug and we have approved this request. Please include your receipt(s) with your written request.