The OLDC-OCA Insurance Fund only covers the cost of the generic version of a drug, if a generic is available. If you or your physician request a name-brand drug instead of a generic drug, you will be responsible for paying the cost difference between the generic and the name-brand in addition to the name-brand drug copayment. (See the chart to the below for copayment amounts)*
If you or your physician request a brand name drug instead of a generic, you will be responsible for paying the cost difference between the generic and brand name drug in addition to the higher copayment. There is an available cost difference cap of $50 per 30 day supply and $100 per 90 day supply. To be eligible for the cap, a “Brand-Name Drug Override” form will be required from your prescribing doctor. Please contact Elixir to request the form be sent to your doctor.