Insurers cover generics based on cost, safety, and clinical evidence-guided by Pharmacy & Therapeutics committees. Learn how tiered formularies, FDA approval, and therapeutic substitution shape your drug coverage-and what to do if your medication isn’t covered.
Insurance plans treat generics and brand-name drugs very differently. Generics cost far less and are often required before brands are covered. Learn how formularies, copays, substitution rules, and medical exceptions impact your out-of-pocket costs.