Standard Option Generic Incentive Program

Switching to generic prescriptions means enjoying the benefits of the Generic Incentive Program.

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With Standard Option, we waive your cost share for the first four generic prescriptions filled (and/or refills ordered) per drug if you purchase a brand name drug listed on the Generic Incentive Program drug list and then change to a corresponding generic replacement.

Please review the chart below. If your doctor agrees that an alternative generic drug can appropriately treat your condition, follow these easy steps to obtain your drugs at no cost to you:

  1. Request a new prescription for up to a 90-day supply of the generic drug alternative, plus refills for up to one year (if appropriate)

  2. Fill your prescription as you normally would. By using the Retail or Mail Order Pharmacy Programs for non-specialty drugs or the Specialty Pharmacy Program for specialty drugs.

2020 Standard Option Generic Incentive Program


Generic Incentive Program Chart
Drug Class / Condition Brand Name Drug Generic Alternative
Anticonvulsants Depakote, Depakote ER, Depakote Sprinkles divalproex tablets, divalproex tablets ER, divalproex sprinkles

Carbatrol, Keppra, Keppra XR, Lamictal, Lamictal XR, Qudexy XR, Tegretol, Tegretol-XR, Topamax, Trileptal
carbamazepin, carbamazepin ER, lamotrigine, lamotrigine ER, levetiracetam, levetiracetam ER, oxcarbazepine, topiramate, topiramate ER
Sleep Aids Ambien, Ambien CR, Lunesta, Rozerem
eszopiclone tablets, ramelteon tablets, zaleplon capsules, zolpidem tablets, zolpidem tablets ER 
Urinary Anti-Spasmodics Detrol, Ditropan, Vesicare
oxybutynin tablets, solifenacin tablets, tolterodine tablets, trospium tablets
Detrol LA, Ditropan XL, Enablex
darifenacin tablets ER, oxybutynin tablets ER, tolterodine capsules ER, trospium capsules ER
Anti-depressants
Forfivo XL, Wellbutrin SR bupropion tablets SR, bupropion tablets XL
Migraine
Imitrex Tablets, Maxalt Tablets, Maxalt-MLT Tablets, Relpax Tablets, Zomig Tablets, Zomig ZMT Tablets eletriptan tablets, rizatriptan tablets, rizatriptan orally disintegrating tablets, sumatriptan tablets, zolmitriptan tablets, zolmitriptan orally disintegrating tablets
Platelet Aggregation Inhibitors
Plavix
clopidogrel tablets
Aggrenox
aspirin-dipyridamole capsules ER
Benign Prostatic Hyperplasia
Avodart, Flomax, Jalyn, Proscar, Rapaflo
dutasteride capsules, dutasteride-tamsulosin capsules, finasteride tablets, silodosin capsules, tamsulosin capsules
Ophthalmic
Xalatan
latanoprost ophthalmic solution 0.005%
Betimol, Istalol, Timoptic, Timoptic-Xe
timolol maleate ophthalmic solution
Nonsteroidal Anti-Inflammatory Agents (NSAIDS)
Celebrex
celecoxib capsules
Proton Pump Inhibitors
Aciphex, Aciphex Sprinkle, Nexium, Nexium Granules, Prevacid, Protonix, Protonix Packets, Prilosec, Prilosec Packets
esomeprazole magnesium capsules, lansoprazole, omeprazole capsules RX, pantoprazole tablets, rabeprazole tablets
Hepatitis Agents
Baraclude Tablets 0.5mg*, 1mg*
entecavir tablets 0.5mg*, 1mg*
Hepsera*
adefovir*
Osteoporosis
Reclast 5mg/100ml*
zoledronic acid 5mg/100ml*
Pulmonary Arterial Hypertension
Revatio* (PAH), Adcirca* (PAH)
sildenafil citrate* (PAH), tadalafil* (PAH)
Antineoplastic Agents
Targretin Capsules 75mg*
bexarotene capsules 75mg*
Xeloda*
capecitabine*
Antiarrhythmics
Tikosyn*
dofetilide*
Cystic Fibrosis
Tobi Nebulizer Solution*
tobramycin nebulizer solution*
Huntington's Disease
Xenazine*
tetrabenazine*

* Specialty medication available through the Specialty Pharmacy Program

You can find complete details about this benefit in the 2020 Blue Cross and Blue Shield Service Benefit Plan Brochure - Standard and Basic Option.

Questions?

Retail Pharmacy Program - Please call CVS Caremark customer care any time at 800-624-5060 TTY: 800-624-5077

Mail Service Pharmacy Program - Please call CVS Caremark customer care any time at 800-262-7890 TTY: 800-216-5343

Specialty Drug Pharmacy Program - Please call AllianceRx Walgreens Prime customer care any time at 888-346-3731 TTY: 877-853-9549

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