Effective 1/1/20 Emblem is implementing mandatory generic on all Small Group Prescription Drug Benefits.

Posted on December 17, 2019

In 2020, members who require a brand prescription when a generic is available will pay the generic copay plus the difference in cost between the generic and brand drug.

For example: If the brand drug cost is $125, the generic drug cost is $25 and the generic copay is $5 then the final member cost is $105 ($5 copay + 100 difference in cost between the brand drug and generic drug)

This new pricing structure is already present in the 2020 Summaries of Benefits and Coverage (SBC’s) for their Small Group products.