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 North Carolina. The law indicates that, in most cases, a pharmacy must substitute a generic for the brand name drug if one is available. This means that a physician must sign a statement that says they do not approve a generic substitution if they do not want the pharmacy to substitute the generic. In addition, some drugs are not eligible for generic substitution in North Carolina. These drugs are typically classified as medications that must be taken in a certain way, known as “therapeutic interchange” drugs. Additionally, the North Carolina Board of Pharmacy allows a pharmacist to make the decision not to substitute a generic, even if one is available, if it is in the best interest of the patient. Finally, North Carolina also has "brand override" laws that allow the prescribing physician to write a brand-name prescription without considering the generic product at all. This prevents the pharmacy from being able to substitute a generic unless it is noted on the prescription by the prescribing physician. Overall, North Carolina has restrictions and limitations on the substitution of generic drugs for brand name drugs that are designed to protect the health and safety of patients while ensuring that the medications they are prescribed are the best possible choice for their individual needs.

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

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