Are there any restrictions or limitations on the substitution of generic drugs for brand name drugs?

Yes, there are restrictions and limitations on the substitution of generic drugs for brand name drugs in New Hampshire. The brand name drug manufacturer must have submitted an application to the FDA for a new drug approval and the drug must have been approved for a “therapeutically equivalent” generic drug. This means that the generic drug must contain the same active ingredients as the brand name drug in the same amount and in the same form. When these requirements are met, the generic drug may be substituted for the brand name drug. In addition, some brand name drugs have been specifically excluded from generic substitution by the New Hampshire Board of Pharmacy. These drugs have been deemed to be therapeutic equivalents although either their clinical efficacy or safety are in question. The Board of Pharmacy has determined that these drugs require special monitoring by a physician and should not be substituted with a generic version without consulting the prescriber first. In addition, the law allows prescribers to designate on the written prescription that "no substitution" should be made for the brand name drug. With this request, a pharmacist must dispense the brand name medication as prescribed instead of a generic equivalent. If the cost is substantially higher, the pharmacist is required to contact the prescriber in order to get approval to dispense the generic version.

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Are there any restrictions or limitations on the substitution of generic drugs for brand name drugs?

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