Table of Contents - OPSEU Local 736

Supplementary Health and Hospital (SH&H)
June 1, 2002
Prescriptions are subject to the following limitation
regarding generic product substitution:
• SH&H will reimburse you for 90% of the generic
equivalent where a generic equivalent exists. If the
brand name product is dispensed, you must pay
the difference between the cost of the brand name
product and the 90% of the generic equivalent
product cost that is reimbursed by the SH&H Plan.
• However, if no generic product exists, you will be
reimbursed 90% of the cost of the brand name
product.
Deductible
For prescription drugs the following Deductible applies,
before the 90% reimbursment is paid:
Effective January 1, 2003, the Deductible is $3. 00 per
prescription
Effective January 1, 2004, the Deductible is $5. 00 per
prescription.
For example, effective January 1, 2003:
Eligible cost of prescription $27. 00
Less Deductible 3. 00
$ 24. 00
You will be reimbursed: 90% of $24. 00 = $21. 60
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