PSA: Those with LO's on Prevacid

honey740 · March 2011

I read someone said it was expensive. There is a generic form of it out now so make sure you ask for it at the pharmacy.

mommajen8 · March 2011

typically state law mandates that if there is a equavalent generic available then the pharmacy automatically switches it to generic. unless the dr writes it for brand only. so you *shouldn't* have to ask for the generic.

g8orell · March 2011

mommajen8:
typically state law mandates that if there is a equavalent generic available then the pharmacy automatically switches it to generic. unless the dr writes it for brand only. so you *shouldn't* have to ask for the generic.

Actually, it's the opposite. I'm a PA and write prob 50 Rx's a day. If I write a branded product, and in derm, brands are MUCH better than generics, my patients should be getting brands. The pharmacies will swap for generics b/c they get a kickback for filling a generic. They are not suppossed to substitute unless the patient asks for a generic.

mommajen8 · March 2011

g8orell:

mommajen8:
typically state law mandates that if there is a equavalent generic available then the pharmacy automatically switches it to generic. unless the dr writes it for brand only. so you *shouldn't* have to ask for the generic.

Actually, it's the opposite. I'm a PA and write prob 50 Rx's a day. If I write a branded product, and in derm, brands are MUCH better than generics, my patients should be getting brands. The pharmacies will swap for generics b/c they get a kickback for filling a generic. They are not suppossed to substitute unless the patient asks for a generic.

i've been a certified pharmacy tech in the state of PA for almost 10 years now and thats not the way it works. if you wrote a RX for a branded version of lets say fluocinolone and your patient dropped it off at my pharmacy we would automatically fill the generic version with out the patient saying anything. there is no "swapping" because the pharmacy gets a kick back. and usually we;ll get a kick back from filling brand. we have a HUGE sign hanging in the pharmacy that says unless your doctor specifically req brand name PA State law says we can dispense the generic. and most insurace companies will not pay for brand name medications.

g8orell · March 2011

mommajen8:
g8orell:

mommajen8:
typically state law mandates that if there is a equavalent generic available then the pharmacy automatically switches it to generic. unless the dr writes it for brand only. so you *shouldn't* have to ask for the generic.

Actually, it's the opposite. I'm a PA and write prob 50 Rx's a day. If I write a branded product, and in derm, brands are MUCH better than generics, my patients should be getting brands. The pharmacies will swap for generics b/c they get a kickback for filling a generic. They are not suppossed to substitute unless the patient asks for a generic.

i've been a certified pharmacy tech in the state of PA for almost 10 years now and thats not the way it works. if you wrote a RX for a branded version of lets say fluocinolone and your patient dropped it off at my pharmacy we would automatically fill the generic version with out the patient saying anything. there is no "swapping" because the pharmacy gets a kick back. and usually we;ll get a kick back from filling brand. we have a HUGE sign hanging in the pharmacy that says unless your doctor specifically req brand name PA State law says we can dispense the generic. and most insurace companies will not pay for brand name medications.

Then it's a state thing. I just looked it up and Florida (where I live), as well as some other states says it has to be dispensed as written, even without "brand medically necessary" written on it. This is how it should be too. For example, I was treating a young woman for rosacea, so I prescribed Oracea (Doxycycline 40mg). There is no Doxy 40mg (generic)...so the pharmacist gave her Doxy 100mg and wrote BID. So where I had given her 40mg QD, she was now taking 200mg!! My old roommate is a pharmacist at Walgreens (we went to the same school for PA and PharmD)...she told me that she maks almost 100% profit of substituting generics, whereas only a small profit for brands. The children's hospital I work at even held a conference with all medical staff and pharmacists to discuss this topic, and they admitted it.

mommajen8 · March 2011

g8orell:
mommajen8:
g8orell:

mommajen8:
typically state law mandates that if there is a equavalent generic available then the pharmacy automatically switches it to generic. unless the dr writes it for brand only. so you *shouldn't* have to ask for the generic.

Actually, it's the opposite. I'm a PA and write prob 50 Rx's a day. If I write a branded product, and in derm, brands are MUCH better than generics, my patients should be getting brands. The pharmacies will swap for generics b/c they get a kickback for filling a generic. They are not suppossed to substitute unless the patient asks for a generic.

i've been a certified pharmacy tech in the state of PA for almost 10 years now and thats not the way it works. if you wrote a RX for a branded version of lets say fluocinolone and your patient dropped it off at my pharmacy we would automatically fill the generic version with out the patient saying anything. there is no "swapping" because the pharmacy gets a kick back. and usually we;ll get a kick back from filling brand. we have a HUGE sign hanging in the pharmacy that says unless your doctor specifically req brand name PA State law says we can dispense the generic. and most insurace companies will not pay for brand name medications.

Then it's a state thing. I just looked it up and Florida (where I live), as well as some other states says it has to be dispensed as written, even without "brand medically necessary" written on it. This is how it should be too. For example, I was treating a young woman for rosacea, so I prescribed Oracea (Doxycycline 40mg). There is no Doxy 40mg (generic)...so the pharmacist gave her Doxy 100mg and wrote BID. So where I had given her 40mg QD, she was now taking 200mg!! My old roommate is a pharmacist at Walgreens (we went to the same school for PA and PharmD)...she told me that she maks almost 100% profit of substituting generics, whereas only a small profit for brands. The children's hospital I work at even held a conference with all medical staff and pharmacists to discuss this topic, and they admitted it.

duh yes it would be a state to state thing!! and on the doxy thing are you serious??? wow i honestly can say i dont think any of my RPH's that i work with would do that. it doesnt make sense to do that, not to mention illegal.

g8orell · March 2011

mommajen8:
g8orell:
mommajen8:
g8orell:

mommajen8:
typically state law mandates that if there is a equavalent generic available then the pharmacy automatically switches it to generic. unless the dr writes it for brand only. so you *shouldn't* have to ask for the generic.

Actually, it's the opposite. I'm a PA and write prob 50 Rx's a day. If I write a branded product, and in derm, brands are MUCH better than generics, my patients should be getting brands. The pharmacies will swap for generics b/c they get a kickback for filling a generic. They are not suppossed to substitute unless the patient asks for a generic.

i've been a certified pharmacy tech in the state of PA for almost 10 years now and thats not the way it works. if you wrote a RX for a branded version of lets say fluocinolone and your patient dropped it off at my pharmacy we would automatically fill the generic version with out the patient saying anything. there is no "swapping" because the pharmacy gets a kick back. and usually we;ll get a kick back from filling brand. we have a HUGE sign hanging in the pharmacy that says unless your doctor specifically req brand name PA State law says we can dispense the generic. and most insurace companies will not pay for brand name medications.

Then it's a state thing. I just looked it up and Florida (where I live), as well as some other states says it has to be dispensed as written, even without "brand medically necessary" written on it. This is how it should be too. For example, I was treating a young woman for rosacea, so I prescribed Oracea (Doxycycline 40mg). There is no Doxy 40mg (generic)...so the pharmacist gave her Doxy 100mg and wrote BID. So where I had given her 40mg QD, she was now taking 200mg!! My old roommate is a pharmacist at Walgreens (we went to the same school for PA and PharmD)...she told me that she maks almost 100% profit of substituting generics, whereas only a small profit for brands. The children's hospital I work at even held a conference with all medical staff and pharmacists to discuss this topic, and they admitted it.

duh yes it would be a state to state thing!! and on the doxy thing are you serious??? wow i honestly can say i dont think any of my RPH's that i work with would do that. it doesnt make sense to do that, not to mention illegal.

Yeah the doxy thing was horrible! If it was substituted to Doxy 50mg, I could maybe understand...but 100mg BID...I'm thinking it was probably a mistake, but still! In derm, we also have all of those rebate cards, which are awesome!

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