States use copays, pharmacist substitution rules, and preferred drug lists to encourage generic medication use-cutting billions in healthcare costs. But unintended consequences threaten long-term access.
Long-term care insurance doesn't cover generic drugs in nursing homes. Medicare Part D pays for most prescriptions, but formularies and enrollment gaps leave some residents paying out of pocket. Know how coverage works before moving in.
Learn how insurance companies enforce generic drug substitution, when you can legally refuse it, and how to get your brand-name medication covered if it's medically necessary. Real patient experiences and state-by-state rules explained.