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Advantage Plan and MedFlex Plan: What if I am unable to take the generic equivalent due to a medical reason?

Although this is rare, if there is a medical reason you cannot take the generic equivalent, your provider may submit a letter of medical necessity to Express Scripts for review. A determination will be made based off of the information the provider submits. If approved, a waiver will be placed in Express Scripts' system and you will be able to receive the brand name drug at the brand name copay.

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