Health department consults on automatic substitution of genericsBMJ 2010; 340 doi: https://doi.org/10.1136/bmj.c135 (Published 08 January 2010) Cite this as: BMJ 2010;340:c135
- Susan Mayor
England’s Department of Health has launched a consultation on proposals for automatic generic substitution, in which pharmacists could dispense generic forms of drugs instead of branded versions even if the prescribing doctor or nurse has written a prescription for a brand.
The consultation report outlines three options. The first is to keep the current arrangements, in which pharmacists are required to dispense exactly what is written on a prescription and cannot substitute a generic version for a brand name drug without prior agreement with the prescriber. The second would allow substitution of generic equivalents but would specify a list of exempt products. The third option, preferred by the health department, would allow generic substitution of a specified group of products.
Under the third option all prescriptions would be dispensed as written except for …