Pharmacist's Substitution of Drug Products
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Questions and Answers

Under what condition can a pharmacist substitute a drug product?

  • If the prescription is not paid for in advance.
  • If the patient requests a specific brand of the drug.
  • If the prescription is written on an approved form and does not prohibit substitution. (correct)
  • If the prescriber has clearly prohibited the substitution.

    • What must a pharmacist do if a prescription is oral and does not specify the substitution status?

  • Fill the prescription using a generic equivalent.
  • Void the prescription and refuse to fill it. (correct)
  • Contact the prescriber for clarification before proceeding.
  • Fill the prescription as requested without mention of substitution.

    • Which of the following is NOT required on the label of the drug product dispensed by the pharmacist?

  • The name and strength of the drug product.
  • The manufacturer of the drug product.
  • The brand name of the drug product.
  • The generic name of the drug product. (correct)

    • What happens when a patient requests a prescription to be filled by an out of state dispenser?

    <p>The laws of the state where the dispenser is located prevail.</p> Signup and view all the answers

    Which list must the substituted drug product be included in?

    <p>The list established under a specific public health law.</p> Signup and view all the answers

    What should a pharmacist record on the prescription form when a drug is substituted?

    <p>The brand name or manufacturer of the drug product.</p> Signup and view all the answers

    When can a pharmacist substitute a less expensive biological product for a prescribed one?

    <p>All of the above.</p> Signup and view all the answers

    What information must the pharmacist provide to the prescriber after dispensing a substituted biological product?

    <p>All of the above.</p> Signup and view all the answers

    Within how many business days must the pharmacist communicate the information about the substituted product to the prescriber?

    <p>Five business days</p> Signup and view all the answers

    What are the acceptable methods for the pharmacist to communicate with the prescriber about the substituted product?

    <p>All of the above</p> Signup and view all the answers

    When is communication between the pharmacist and prescriber about the substituted product not required?

    <p>Both a and b.</p> Signup and view all the answers

    What is the purpose of the link maintained on the Department's website?

    <p>To list all biological products that are interchangeable.</p> Signup and view all the answers

    What is the legal consequence of a pharmacist substituting a less expensive biological product without meeting all the conditions?

    <p>All of the above.</p> Signup and view all the answers

    Which of the following is NOT a requirement for a pharmacist to substitute a less expensive biological product?

    <p>The substituted product must be manufactured by the same company as the prescribed product.</p> Signup and view all the answers

    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.

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