Hi Owen,
>i,ve had two patients today wanting me to change a generic prescription
>to a branded version
Whoops.
>because they've been told that the chemist won't
>dispense their favoured version without a branded scrip
At the end you mention your financial penalties.
Why should the chemist take the penalties instead?
>( for ranitidine/zantac
Any reason for not using it as an opportunity to switch to cimetidine ;)
> sando-k two versions of this by two companies giving
>it the same name v v confusing
??? Maybe the patient objected to the PI version. I don't know if even
a brand name would get this past a stroppy pharmacist who will be paid as
if the PI was used.
> and captopril/capoten)
56 capoten 50mg costs pharmacy £20.50
56 captopril 50mg costs pharmacy £5.63
Pharmacy will be paid £6.50 for dispensing the script.
Would you support that patients choice of brand with £14.00 of your own
money?
On the other hand if it's for a low dose 12.5mg tablet which is supposed to
be
broken in half - then some generics are small, circular, unscored and
impossible
to break.
Hate to ask this but it wasn't the same patient with the captopril and the
Sando K
was it?
>i've been irritable/irritated and resisted; why have chemists at all
>unless we give them some responsibility for the product dispensed;
I also think that pharmacists should be allowed to make generic/brand
substitutions
(in either direction). Unfortunately that isn't the case.
>why should i reduce my generic prescribing rate and incur the wrath of all
>and sundry, let alone financial penalties?
It shouldn't be difficult to increase your generic prescribing rate so long
as you prescribe generically when it doesn't matter (i.e. where there is no
generic).
Regards
Jeff Green
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