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.