Can a Non-Generic Drug Be Given on a Generic Prescription?

Yes, it is indeed possible for a non-generic drug to be provided when a generic prescription is issued. Understanding this can help both patients and pharmacists navigate the complexities of prescription medication.

Pharmacists and Prescription Orders

Pharmacists are legally obligated to supply the medication that was specifically ordered by the prescribing physician. This means that if a prescription specifies atorvastatin 20 mg tablets, the pharmacist can indeed provide any form of atorvastatin, including the brand-name Lipitor. Similarly, if a prescription indicates Lipitor 20 mg, a generic version of the drug can be substituted unless otherwise specified.

Generic Substitution Practices

Generic substitution is a common practice in pharmacy, with the exception being specific instructions or circumstances. In cases where a generic version is available, it may be dispensed as a substitute. However, patients have the right to ask for the brand name version of the drug if they prefer it or if they have been accustomed to it.

Brand Name References in Prescriptions

It is not uncommon for doctors to continue using brand names even after a drug becomes available in generic form. This can be due to various reasons. For instance, doctors might stick to brand names out of habit, or because the generic name is much more complex and difficult to remember (e.g., oseltamivir vs. Tamiflu). Generic names like oseltamivir can be cumbersome, while brand names like Tamiflu are recognized and easily remembered by many patients and healthcare providers.

Dispense as Written (DAW) Instructions

In some cases, a prescription will include an instruction known as "Dispense as Written" (DAW). This means that the exact form of the medication specified on the prescription must be dispensed. This practice is often employed to ensure that the patient receives the exact medication intended by the physician, particularly in scenarios where only the branded version is available or recommended. Following DAW instructions is crucial to maintaining the accuracy and safety of the prescription dispensed.

Price Considerations

It is important to note that despite the availability of generics, there may be significant price differences between branded and generic medications. Once a generic version of a drug becomes available, the manufacturer of the branded version often ceases efforts to compete on price, and insurance companies stop covering the branded drug. This can result in significant disparities in cost. For instance, generic sertraline (an antidepressant) typically costs less than $10 for a month's supply, whereas the brand name version, Zoloft, can cost around $400 for the same quantity.

In summary, while a non-generic drug can be dispensed when a generic prescription is issued, pharmacists and patients need to understand the options and potential price differences associated with such prescriptions. Patients should always consult with their pharmacist if they have concerns regarding the substitution or cost of their medications.