Cheratussin AC vs. Virtussin AC--NY RPhs please

[MARX22]

Hey guys,

So in NY we have to substitute with whatever is AB rated as per the orange book. However, when I was an intern at walgreens I saw that we would get rxs for cheratussin AC. We always had virtussin AC in stock for some reason they never ordered the cheratussin AC even though we always got rxs for those... My Rph always told me to just type up virtussin AC. Now that I'm licensed, I'm just wondering if that was even ok in NY without the md's approval since we're changing the control drug's name. It is the same ingredients, yes, but when I check online I can't find any AB rating in order for me to know if it is okay to substitute without the doctor's approval. For birth control for instance.. if it's ab rated I just substitute without asking md or annotating, like I'll dispense tri previfem instead of tri sprintec even though they're both brand names but they are AB rated. In this case I'm not sure because I can't find anything online and it's a control so i'm more concerned. any help please? Thanks!

tri-sprintec/tri previfem
Orange Book: Approved Drug Products with Therapeutic Equivalence Evaluations

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[wagrxm2000]

There's not a single doctor that will tell you no, just document you talked to Jen the nurse and got approval.

 

[Sine Cura]

Orange Book applies to NDAs and ANDAs. Bioequivalence ratings like AB, AT, etc. do not apply to OTC products like Cheratussin so technically auto-sub does not apply.

Does the BOP actually care if you switch on your own? Do prescribers actually care? Probably not but it depends on your state

I honestly have way more problems with OCP complaints from customers as every few months I get complaints about ins not covering 28 tabs for 21 days if the pt skips placebo tablets or they want a specific NDC because that's what they always got at Rite Aid...

 

[Dr Wario]

No one will care except the junkies that think one brand will give them a better high.

 

[panicatthepharmacy]

There's not a single doctor that will tell you no, just document you talked to Jen the nurse and got approval

If it happens to be a day that Jen's not there, you talked to Mary instead. Remember that.

 

[zelman]

Hey guys,

So in NY we have to substitute with whatever is AB rated as per the orange book. However, when I was an intern at walgreens I saw that we would get rxs for cheratussin AC. We always had virtussin AC in stock for some reason they never ordered the cheratussin AC even though we always got rxs for those... My Rph always told me to just type up virtussin AC. Now that I'm licensed, I'm just wondering if that was even ok in NY without the md's approval since we're changing the control drug's name. It is the same ingredients, yes, but when I check online I can't find any AB rating in order for me to know if it is okay to substitute without the doctor's approval. For birth control for instance.. if it's ab rated I just substitute without asking md or annotating, like I'll dispense tri previfem instead of tri sprintec even though they're both brand names but they are AB rated. In this case I'm not sure because I can't find anything online and it's a control so i'm more concerned. any help please? Thanks!

tri-sprintec/tri previfem
Orange Book: Approved Drug Products with Therapeutic Equivalence Evaluations

These products cannot have their bioequilvalence against the reference product tested because the reference product was discontinued. So, technically it’s illegal. Also, nobody cares, so just change it. Same as giving generic pyridium.

 

[MARX22]

If it happens to be a day that Jen's not there, you talked to Mary instead. Remember that.

hahahha, like im gonna know who works at every office esp if im floating 😛

 

[ldiot]

Technically, by law, you have to call but if you do you are just embarrassing yourself and making your life harder. Probably only Wal-Mart pharmacists would call lol