I know that some generics do not give the same results as name brand counterparts. I also know that at times insurance companies will not pay for name brand meds without a letter from the prescribing physician stating why the name brand medication is needed and the generic counterpart will not be acceptable. This was the case with more than one medication my wife has been prescribed over the years.
The point with this program is not related to the effectiveness of generic medications as opposed to name brand medications. The point is for pharmacies to not be able to charge a consumer the $10, $20 or $30 co-pay for a medication that costs less than that amount. In other words, if your co-pay is $20, but the actual cost of the generic medication is $7, with this program, you would pay the $7 actual cost rather than the $20 co-pay they could charge without the program.
By all means, if you don't get the same result from generic medications, please contact your physician about name brand prescriptions. If you have concerns about the quality or effectiveness of generic medications or a specific generic, again, you have the right to consult your physician about such.