Rhode Island Multistate Pharmacy Jurisprudence (MPJE) Practice Exam

Under which condition must a pharmacist substitute a brand name drug for a generic?

1. Written request from the patient

2. Doctor's verbal consent

3. Price of the drug

4. Patient's insurance policy

The correct answer is: Written request from the patient

When it comes to substituting a brand name drug for a generic version, the preferred condition is obtaining a written request from the patient. This reflects the patient's autonomy in making decisions about their medication. A written request ensures that the patient has actively chosen to use the brand name drug over the generic, acknowledging any potential differences in cost or efficacy. In many jurisdictions, pharmacists have a legal obligation to adhere to the patient's wishes regarding their medication preferences. This aspect emphasizes the importance of patient involvement in healthcare decisions, including the choice between brand and generic options. While verbal consent from a doctor or considerations about the price or patient insurance policy may play a role in a pharmacist's decision-making process, the law typically prioritizes obtaining affirmative consent from the patient for such substitutions. This ensures that the patient's preferences are respected and that they are fully informed about the implications of using a brand name versus a generic medication.