• Only generic medications are covered.
• Excluded medications:
o Non-generic (branded) medications
o Cancer treatments
o Genetic/hereditary disease medications
o Medications for diabetes
o Medications for high blood pressure
(hypertension)
o Approval of services is subject to verification of the provided information.
o The provider reserves the right to modify or deny services based on eligibility criteria.
o Any false or misleading information may result in immediate disqualification.