| Scenario | Insurer | Insured | CPC | Total cost |
|---|---|---|---|---|
| A. Generic | 25.60 | 6.40 | 0 | 32.00 |
| B. Brand-name without CPC | 96.00 | 24.00 | 0 | 120.00 |
| C. Brand-name with CPC | 96.00 | 6.40 | 17.60 | 120.00 |
| D. Brand-name with CPC and mandatory generic substitution | 25.60 | 6.40 | 88.00 | 120.00 |
| E. Average cost within public plans based on results of Law et al. 3 | 25.93 | 10.93 | 83.14 | 120.00 |
| F. Average cost within private plans based on results of Law et al. 3 | 37.38 | 6.27 | 76.35 | 120.00 |
Note: CPC = co-pay card.
Source: Calculations by the author, based on cost of $100 for brand-name version; $20 for generic version; $10 dispensing fee; 10% pharmacy margin; and 20% co-pay for insured patient.