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Inappropriate Billing

When you obtain prescription drugs under your health plan, you should only be charged for the specific drug you have received. You should not be charged for drugs that are not listed on your physician's prescription or for any orders you never picked up. Each time you receive an Explanation of Benefits (EOB) form from CommunityCare, review the form and make sure that the prescriptions listed match those your doctor prescribed and that you actually received. If you received a generic drug, your pharmacist should not charge you for a brand name drug. In addition, except for any applicable copayment or coinsurance, your pharmacist should not bill you for a drug that is covered by your plan.

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