Substituting

[DrSassyPants]

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I get tired of seeing albuterol 90mcg/act and having to call the doctor to pick a specific product. I see pharmacists do it different ways, some just pick 1 and fill it...what do yall do? Is it "illegal" to just pick a brand yourself?

 

[Sparda29]

I get tired of seeing albuterol 90mcg/act and having to call the doctor to pick a specific product. I see pharmacists do it different ways, some just pick 1 and fill it...what do yall do? Is it "illegal" to just pick a brand yourself?

If it's Medicaid, go with Ventolin HFA. I generally go with whatever is cheapest for the patient. I'm seeing a lot of insurance companies starting to deny Proventil HFA and going with Ventolin HFA instead. We rarely dispense ProAir HFA.

 

[lorain]

whatever ins covers

even if md writes for proair, and the ins covers ventolin, i switch without calling but i let the pt know what i did

 

[chuckle beast]

ventolin, proair and proventil are not AB rated with respect to each other.

 

[lorain]

ventolin, proair and proventil are not AB rated with respect to each other.

and the ER is not gonna call for a PA at 8pm

i used to call on it before, but i never got a denial, so now i do it without calling, esp since im doing 600 or whatever

 

[DrugDealer]

ventolin, proair and proventil are not AB rated with respect to each other.

Yes, but when I call the MD I know they will say "that's fine, whatever the patient wants." What MD is going to insist on one over another?? What MD is going to deny a patient an albuterol inhaler?

 

[Sparda29]

Yes, but when I call the MD I know they will say "that's fine, whatever the patient wants." What MD is going to insist on one over another?? What MD is going to deny a patient an albuterol inhaler?

A MD that hasn't seen the patient in 2 years?

 

[confettiflyer]

ventolin, proair and proventil are not AB rated with respect to each other.

aaaaand back in the real world...we just pick the one that's covered and be done with it

 

[genesis09]

Ventolin will be going generic in about a year or so. So, when that happens, everyone will be switched to that. The good thing is that all the Ventolin generics will have a dose counter.