The State's prescription plan is administered by PCS Health Systems, Inc. The prescription plan covers the cost of approved prescription drugs, subject to nominal copayments. These copayments are determined by whether the drug is on the PCS formulary and whether the drug is a brand-name or generic. PCS has a panel of physicians and pharmacists that meets regularly to identify and review prescription drugs that provide the highest therapeutic and economic value. By choosing drugs on this list, your physician helps keep the cost of prescription drugs affordable.
Formulary drugs are subject to change at any time.
Over time, companies can lose the patents on particular drugs, opening up the market to generic equivalents. Generic drug equivalents may become available at any time. All generics must meet the same manufacturing testing standards as the brand-name drug. If a generic drug is available, the State plan only covers up to the cost of the generic. The State prescription plan only covers up to the cost of a generic drug, when the generic is available.