Idiocy in Missouri

March 23, 2007

You now have to specifically prescribe generics in order for it to be dispensed. No more generic substitutions for brand name medications in Missouri. That’s the dumbest thing I’ve heard in awhile. Big Pharma must be behind this.

Update:
TBTAM has more on this – apparently it’s not as bad as first thought. Thank God:

Okay, here’s the scoop. The good news is that Missouri does allow generic substitution.The bad news is that their generic formulary is different (and smaller) than New York State’s. Not a few drugs that I prescribe that formerly were being filled generically, are being filled with brand names in Missouri unless I specify a generic. Thankfully, they do have generics for oral contraceptives on the formulary.



Related posts:

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  2. Are generic medications as good as their brand name counterparts?
  3. "Pay to delay": How Big Pharma is paying off generic drug companies
  4. Paying doctors off to use generic medications
  5. The booming generic medication business
  6. Should docs be paid for switching patients to generics?
  7. My take: NPs, solving health care, generics vs brand name drugs


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{ 2 comments }

1 TBTAM March 23, 2007 at 11:26 pm

Kevin: I’ve been searching all eveing to find out if there really is such a law, or if the online phamacist was wrong. I cannot find any such law, so I don’t want to spread anything erroneous. I put a quick update on the post, can you do the same? And maybe someone can straighten this out for us….

2 TBTAM March 24, 2007 at 8:19 am

Okay, here’s the scoop. The good news is that Missouri does allow generic substiution.The bad news ifs that their generic formulary is different (and smaller) than New York State’s. Not a few drugs that I prescribe that formerly were being filled generically, are being filled with brand names in Missouri unless I specify a generic. Thankfully, they do have generics for oral contraceptives on the formulary.

BTW, it took me all last evening and part of this morning to figure this out. All the pharmacy (multiple reps)kept telling me (and my patient) was that it was the law that I had to give them the name of the generic.

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