Rhode Island Multistate Pharmacy Jurisprudence (MPJE) Practice Exam

What is the correct response if a patient does not request a brand name drug in writing?

1. The brand must be dispensed

2. The pharmacist can choose between brand and generic

3. The generic must be dispensed

4. The prescriber must be contacted for a decision

The correct answer is: The generic must be dispensed

In Rhode Island, the regulations regarding the dispensing of medications emphasize the importance of cost-effective care and the utilization of generic drugs when available. When a patient does not request a brand-name drug in writing, it is generally understood that they are accepting the generic equivalent unless specifically instructed otherwise. The rationale for dispensing the generic medication is anchored in the legislative intent to encourage the use of generics, which are often less expensive and equally effective as their brand-name counterparts. This policy aligns with both cost-saving measures for patients and the overall goal of promoting the use of generic medications in the healthcare system. It is crucial for pharmacists to be aware of these regulations to ensure compliance while providing effective medication management to patients. In situations where no written request for a brand name is made, the default action is to dispense the generic version, as it is assumed that the patient has agreed to this option.