mgriffiths Posted March 11, 2019 Share Posted March 11, 2019 I have started receiving requests from pharmacies for permission to fill prescriptions with generic form of medication (i.e. crestor prescribed and asking permission to fill with rosuvastatin). Isn't it law to substitute the generic form unless prescriber specifically writes "DAW" (dispense as written)? Also, shouldn't they also read the script when I state fill with any covered medications (i.e. ventolin MDI, and I write "please substitute any albuterol MDI covered by insurance" on note to pharmacy line)? I'm asking before I call pharmacy out of frustration... Link to comment Share on other sites More sharing options...
sas5814 Posted March 11, 2019 Share Posted March 11, 2019 It is here in Texas. I'm sure it varies state by state. Link to comment Share on other sites More sharing options...
mgriffiths Posted March 11, 2019 Author Share Posted March 11, 2019 Hmmm, I thought this was a federal law, but now not finding it. Thanks for the input though. Link to comment Share on other sites More sharing options...
sas5814 Posted March 11, 2019 Share Posted March 11, 2019 27 minutes ago, mgriffiths said: Hmmm, I thought this was a federal law, but now not finding it. Thanks for the input though. nah...pharmacy law is a bit like our enabling legislation. It varies state to state. Link to comment Share on other sites More sharing options...
Davo Posted March 11, 2019 Share Posted March 11, 2019 My script pads have a box you can check that says may substitute for generic. And yet I still will get calls from pharmacists, especially when its busy in clinic. Link to comment Share on other sites More sharing options...
sas5814 Posted March 11, 2019 Share Posted March 11, 2019 If we want the patient to have name brand we have to write it in our own handwriting one the prescription "name brand necessary". Oddly the only calls I have gotten recently was a pharmacist asking to sub name brand for generic because the insurance (Medicaid) would only pay for name brand. Don't ask me why.... Link to comment Share on other sites More sharing options...
Moderator ventana Posted March 11, 2019 Moderator Share Posted March 11, 2019 Just don’t call the pharmacist back. Link to comment Share on other sites More sharing options...
Administrator rev ronin Posted March 12, 2019 Administrator Share Posted March 12, 2019 4 hours ago, ventana said: Just don’t call the pharmacist back. I'd do one better, if I got that question: I'd ask what the problem was--why they didn't honor the line I signed. I'd rather nip it in the bud in a polite phone call. Link to comment Share on other sites More sharing options...
mgriffiths Posted March 12, 2019 Author Share Posted March 12, 2019 14 hours ago, rev ronin said: I'd do one better, if I got that question: I'd ask what the problem was--why they didn't honor the line I signed. I'd rather nip it in the bud in a polite phone call. Exactly what I did... Link to comment Share on other sites More sharing options...
Moderator ventana Posted March 12, 2019 Moderator Share Posted March 12, 2019 But what is the fun in that? But seriously - sometimes giving credence to a stupid question is not the way to handle it. they will just keep calling and calling (is what I have found) Another pharmacy, another pharmacist, another pharma tech, then the front office person, then corporate..... blah blah blah. Just let them fill the legal script you provided - if they have questions THEY can look up the state law on interchange. Just make sure you know the state law on interchange 100% so that you are positive in the script you write. Link to comment Share on other sites More sharing options...
mgriffiths Posted March 13, 2019 Author Share Posted March 13, 2019 I think you may misunderstand. It's not calling to give a verbal order. It's calling them to ask them to read the prescription back to me, and when they read the specific notation I wrote...asking, "Then what is your question and why is my patient still waiting for their prescription?" Link to comment Share on other sites More sharing options...
mgriffiths Posted March 13, 2019 Author Share Posted March 13, 2019 1 hour ago, mcclane said: I don't have time to read this now, but: https://www.uspharmacist.com/article/generic-substitution-laws Thank you...shows that my state is a "permissive" substitution - meaning a pharmacist can but is not required. Good to know! But, in this case they should have read and followed my written note regarding the substitution. Link to comment Share on other sites More sharing options...
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