Questions and Answers
Under what condition can a pharmacist substitute a drug product?
What must a pharmacist do if a prescription is oral and does not specify the substitution status?
Which of the following is NOT required on the label of the drug product dispensed by the pharmacist?
What happens when a patient requests a prescription to be filled by an out of state dispenser?
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Which list must the substituted drug product be included in?
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What should a pharmacist record on the prescription form when a drug is substituted?
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When can a pharmacist substitute a less expensive biological product for a prescribed one?
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What information must the pharmacist provide to the prescriber after dispensing a substituted biological product?
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Within how many business days must the pharmacist communicate the information about the substituted product to the prescriber?
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What are the acceptable methods for the pharmacist to communicate with the prescriber about the substituted product?
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When is communication between the pharmacist and prescriber about the substituted product not required?
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What is the purpose of the link maintained on the Department's website?
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What is the legal consequence of a pharmacist substituting a less expensive biological product without meeting all the conditions?
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Which of the following is NOT a requirement for a pharmacist to substitute a less expensive biological product?
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Study Notes
Substitution of Drug Products
- A pharmacist can substitute a less expensive drug product if it has the same active ingredients, dosage form, and strength as the prescribed product.
- The prescription must be written on a form that meets specific requirements, and the prescriber must not prohibit substitution.
- The substituted product must be on the list of approved drug products established by the public health law.
Labeling and Recording
- The pharmacist must label the dispensed product with its name, strength, and manufacturer, unless the prescriber specifies otherwise.
- The pharmacist must record the brand name or manufacturer of the dispensed product on the prescription form.
Out-of-State Dispensers
- If a patient chooses to fill a prescription out of state, the laws of that state will apply.
Substitution of Biological Products
- A pharmacist can substitute a less expensive biological product if it is an interchangeable biological product or the prescribed product is an interchangeable biological product for it.
- The prescriber must not prohibit substitution, and the pharmacist must label the product with its name, strength, and manufacturer.
- The pharmacist must communicate the substituted product to the prescriber within five business days, including the product name and manufacturer.
Communication Methods
- The pharmacist can communicate through an electronic medical records system, electronic prescribing technology, or pharmacy record.
- If electronic means are not available, the pharmacist can communicate by telephone.
Exceptions to Communication Requirement
- Communication is not required if there is no FDA-approved interchangeable biological product for the prescribed product.
- Communication is also not required for refill prescriptions that are not changed from the previous filling.
Biological Product List
- The department maintains a link to the current list of biological products determined by the FDA to be interchangeable biological products.
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Description
This quiz is about the conditions under which a pharmacist can substitute a prescribed drug product with a less expensive one containing the same active ingredients, dosage form, and strength.
