As
you may know, Medicare Part D prescription drug plans are allowed to update their plan formularies or drug lists throughout the plan
year and the July 2018
Medicare Part D formulary updates included 58 new drugs, including nine (9) new generic drugs - with 16 new generic equivalents
(variations of manufacturer, drug-strength, and packaging).
Below is a full list of the new generics added to
the 2018 Medicare Part D (PDP) and Medicare Advantage plan (MAPD) formularies:
What Could the Addition of New Generic Drugs Mean to You?
- You may be able to save money by switching
from the brand-name drug to its generic equivalent – with your prescriber’s
approval and a new prescription. Please note, you will need to look
carefully at coverage costs as we have found that many 2018 generics are being
offered on the same tier as their brand-name equivalent or the generics do not
have a significantly lower retail price. For example,
the brand-name Emend
(40 mg) may be a Tier 4 drug (45%
co-insurance) and the same plan may now cover the generic equivalent APREPITANT 40 MG CAPSULE also as a Tier 4 drug (45% co-insurance). You can click
here to see how your Medicare drug plan is covering these medication.
- Your brand-name drug may no longer be available if a generic is now available. Based on past experience, you may find that many Medicare Part D plans discontinue coverage for the brand-name drug in the months following the introduction of the generic equivalent. If you have received notice from your Medicare Part D plan that your brand-name medication will be dropped, you should speak with your prescriber to determine if you can take the generic equivalent or if you must continue taking the brand-name drug, you will need to ask your plan for a formulary exception to continue coverage for your brand-name drug. You can click for a chart showing the trends in formulary coverage for some of the more popular Medicare drugs and their generic equivalents.