- Joined
- May 11, 2006
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Just curious as to what everyone's thoughts were on this.
If a MD writes for an drug that doesn't specify the form, we usually dispense what is cheapest/covered. For example an RX written as 'doxycycline', will be dispensed as the monohydrate (as our Medicaid only covers this particular form).
However, in situations (that aren't 'AB rated') where a prescriber sends an e-prescription:
- Tizanidine 4 mg Capsule ($$$ > tablet or requires a PA)
- Diltiazem 240 mg ER Tablet (patient has always been getting ER capsules)
- Ventolin (insurance requires Proventil)
Do you spend time to call the MD or use professional judgement and dispense what the insurance prefers? If so, do you make any notation on the RX (assuming it has refills)?
Note: This excludes more obvious distinctions such as Metoprolol tartrate vs succinate
If a MD writes for an drug that doesn't specify the form, we usually dispense what is cheapest/covered. For example an RX written as 'doxycycline', will be dispensed as the monohydrate (as our Medicaid only covers this particular form).
However, in situations (that aren't 'AB rated') where a prescriber sends an e-prescription:
- Tizanidine 4 mg Capsule ($$$ > tablet or requires a PA)
- Diltiazem 240 mg ER Tablet (patient has always been getting ER capsules)
- Ventolin (insurance requires Proventil)
Do you spend time to call the MD or use professional judgement and dispense what the insurance prefers? If so, do you make any notation on the RX (assuming it has refills)?
Note: This excludes more obvious distinctions such as Metoprolol tartrate vs succinate