I have had it brand name medically necessary and dispensed as written because if the prescription is brand name medically necessary but not dispensed as written, insurance still only wants to fill it as the generic. And the dispensed as written code is where I am getting this outrageous penalty. It is terrible - we pay so much for insurance. My insurance company is a trust fund for electric coops and therefore not subject to state laws like petitioning to the attorney general about these sorts of problems. My insurance also contracted with a third party company to fill prescriptions and the appeals department is through another third party and my HR administrator and I have been on the phone on hold retelling our story and trying to get answers since October and have gotten the wrong information time and time again. It's like no one cares that the generics don't even control my seizures as well as the name brand AND give me terrible side effects. It's all about the $$ to them. But I can't get my own insurance because I have this preexisting condition ... blah I'm so over it.