Can AdrenaClick be dispensed when doc writes for EpiPen?

[Lexington2012]

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I was under the impression that these products are not equivalent. The FDA website lists them as BX rated, but MicroMedex says that Adrenaclick is a generic of EpiPen.

My preceptor tells me I'm using old info, but I can't find anything about a recent change.

 

[Lnsean]

I was under the impression that these products are not equivalent. The FDA website lists them as BX rated, but MicroMedex says that Adrenaclick is a generic of EpiPen.

My preceptor tells me I'm using old info, but I can't find anything about a recent change.

You cannot sub it out...must call MD to change it.

 

[deleted480308]

They are not interchangable

 

[Lexington2012]

My preceptor kept saying "this is how we do it in the real world." I think I will just keep my mouth shut and do things differently when I get my license.

 

[gwarm01]

My preceptor kept saying "this is how we do it in the real world." I think I will just keep my mouth shut and do things differently when I get my license.

There are a lot of things we do in the real world that aren't 100% by the books. What you consider acceptable really depends on the risk you are willing to take versus the benefit your patients combined with your relationship with the prescribing physician.

I know next to nothing about retail pharmacy, but from what I gather there are situations like albuterol inhalers where most people feel comfortable subbing without a call. With Adrenaclick I would probably feel uncomfortable switching.

 

[wagrxm2000]

My preceptor kept saying "this is how we do it in the real world." I think I will just keep my mouth shut and do things differently when I get my license.

If for some reason an insurance will pay for adrenaclick then just do it. An office call to confirm the switch will only piss off the nurse and md.

Oh but no they aren't interchangeable.

 

[maria1oh]

If the script just says epinephrine then rph can pick either epipen or adrenaclick based on patient preference. If patient has copay card they will prefer epipen.
What if script says epinephrine (epipen) does that require epipen? Would you submit a misfill report regarding switching epinephrine pens? Misfill report on switching between proair and ventolin?

 

[Digsbe]

My preceptor kept saying "this is how we do it in the real world." I think I will just keep my mouth shut and do things differently when I get my license.

Some do, some don't. I was with pharmacists and preceptors who would change things like caps to tabs, etc. Largely because they had good working relationships with the prescriber and the prescriber would 100% of the time be like "um duh, yes that's fine."

Personally though, I wouldn't just interchange things like that. All it takes is an insurance audit or complaint and you're in hot water.

 

[confettiflyer]

California, Colorado, Florida, Vermont, Washington can interchange, I believe


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[Lexington2012]

California, Colorado, Florida, Vermont, Washington can interchange, I believe


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Where did you find this information?

 

[confettiflyer]

Where did you find this information?

My apologies - it was Consumer Reports. I'm unable to corroborate separately like I usually do.


EDIT: that article quoted someone from Impax, maker of the generic