Help Keep Health Care Cost Down: DC 37 Members Pledge Card
Help Keep Health Care Cost Down: DC 37 Members Pledge Card
How do you know that generic drugs are safe and effective?
The Office of Generic Drugs, part of the federal Food and Drug Administration’s Center for Drug
Evaluation and Research is dedicated to assuring that only safe, effective, high-quality, and
equivalent generic products are approved for use by consumers and health care professionals.
The American public can be confident that when a generic drug product is approved, it has met
the rigorous standards established by the FDA with respect to identity, strength, quality, purity and
potency.
Excerpted from the U.S. Food and Drug Administration Web site welcome letter at www.fda.gov
HELP SAVE YOUR PRESCRIPTION DRUG BENEFIT PLAN BY USING GENERICS
(All drug costs listed are averaged among many retail pharmacies. Shop around to find the pharmacy near you offering the lowest drug cost).
Common Illnesses/Diseases Brand Drug Drug Cost Co-pay Generic Drug Drug Cost Co-pay
High Blood Pressure, Diovan $192 $35 Valsartan $30.00 $5
Cardiovascular Disease, Cozaar $364 $35 Losartan Potassium $25.50 $5
Blood Thinners Coumadin $48 $35 Warforin Sodium $8.10 $5
Plavix $232 $35 Clopidogrel Bisulfate $7.50 $5
*If you wish to obtain a brand statin, you will be required to pay the $35.00 co-pay, plus the current ancillary charge of up to $145 (the current difference between the ingredient cost of the brand and
generic statin) for a total payment of up to $180.00.
**All covered acid reflux drugs have a 90-day life time limit. That 90-day limit may only be lifted if required medical documentation is provided to the Plan.
***Absent documented medical necessity, these drugs are not covered as they are available as over-the-counter drugs at your local pharmacy.
Note: To check for generics of any brand drug covered by the Plan, after registering on the Optum website: www.OptumRx.com , click on “formulary”, go to search “drug name” where you will
enter the brand drug name, then click on “browse formulary” by “generic”. If the brand drug has a generic it will appear on the screen.