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 Washington. According to the Washington State Administrative Code 246-869, pharmacists are only allowed to substitute a generic drug for a brand name drug if the generic drug is therapeutically equivalent. For a substitution to be considered therapeutically equivalent, the generic drug must have the same active ingredients, the same strength, and the same dosage form as the brand name drug being replaced. Additionally, the generic drug has to have the same route of administration and meet the same standards of quality, performance, and strength as the brand name drug. If these criteria are not met, pharmacists are not allowed to substitute a generic drug for a brand name drug. In addition, pharmacists are only allowed to substitute a generic drug for a brand name drug if the generic drug is not significantly more expensive than the brand name drug. This means that if the generic is going to cost the patient more money, the pharmacist will have to get consent from the prescriber before making the substitution. Finally, Washington requires pharmacists to provide patients with information about the substitution of generic drugs for brand name drugs before the substitution takes place. This is done to ensure that patients are informed of the decision before the substitution is made.
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