December 21, 2018 at 11:16 am MST #175790White.Beard.DocParticipantStatus: PhysicianPosts: 960Joined: 02/06/2016
Huh?ENT DocParticipantStatus: PhysicianPosts: 3567Joined: 01/14/2017
Dispense as Written?December 21, 2018 at 3:59 pm MST #175818hatton1ParticipantStatus: PhysicianPosts: 3123Joined: 01/11/2016
Yes occasionally. Some patients are convinced name brands are better. This thinking has decreased as meds have become so stupidly expensive.. This comment assumes daw is dispense as written. Otherwise huh?
I blog at http://doctoroffinancemd.com/December 21, 2018 at 6:51 pm MST #175833PedsModeratorStatus: PhysicianPosts: 4666Joined: 01/08/2016
Always check substitution allowed…..December 21, 2018 at 6:53 pm MST #175834LizOBParticipantStatus: PhysicianPosts: 322Joined: 06/05/2017
Only if specifically requested by the patient. If they really want it, it’s no skin off my back if they pay more for itThe White Coat InvestorKeymasterStatus: PhysicianPosts: 4601Joined: 05/13/2011
Only if specifically requested by the patient. If they really want it, it’s no skin off my back if they pay more for itClick to expand…
You mean your nose?
Site/Forum Owner, Emergency Physician, Blogger, and author of The White Coat Investor: A Doctor's Guide to Personal Finance and Investing
Helping Those Who Wear The White Coat Get A "Fair Shake" on Wall Street since 2011PhysicianOnFIREModeratorStatus: PhysicianPosts: 1543Joined: 01/08/2016
I’ve been to DFW a couple times. Enjoyed myself there. Stay clear of the grassy knoll and enjoy the stockyards and that kitschy bar with all the white elephants. I played a lot of shuffleboard there.
40-something anesthesiologist and personal finance blogger @ https://physicianonfire.com [Part of the WCI Network] Find me on Twitter: @physicianonfire
FIRE. Financial Independence. Retire Early.NaOHParticipantStatus: Pharmacist, SpousePosts: 120Joined: 01/09/2016
Please don’t. ;_;
"Don't fear failure - not failure, but low aim, is the crime.
In great attempts it is glorious even to fail."December 22, 2018 at 10:00 am MST #175922trebizondParticipantStatus: ResidentPosts: 132Joined: 12/31/2017
There have been some medications where even specialists feel that there is a real difference between the generic and brandname. I’ve heard Synthroid vs. levothyroxine from numerous patients and endocrinologists. DAW there would be reasonable. Otherwise, should be kept to a minimum.December 22, 2018 at 10:30 am MST #175924
Sorry for the confusion. Yes I am talking about dispense as written. I personally do not ever see a reason to write for a brand name when a generic is available but I was hoping to get some comments from this crowd. I agree the biggest issues is synthroid. I do not believe there is a meaningful difference and even if there is it can be dose corrected so I refuse. It seems like a silly thing to fight with a patient about but we all draw the line in different places.
The thread about emotional support animals made me think to ask this because I see quite a lot of overlap of these issues in patients.December 22, 2018 at 11:11 am MST #175931
Please don’t. ;_;Click to expand…
Do not worry I won’t.
Physicians seem to be all over the board with this issue but I have never met a pharmacist who would recommend a brand.December 22, 2018 at 11:14 am MST #175932GPGPParticipantStatus: PhysicianPosts: 202Joined: 05/02/2017
I have several patients for whom brand a of metformin extended release is fine but brand b/c gives them diarrhea almost as bad as plain metformin. (Lending some credence, insurance company changes have led to the formulary dance, and we had to adjust dosing up and down to maximum tolerated). Have one where glumetza is best, another where it’s formamet)
A few random other ones come to mind (synthesis, ppi). But I never recommend DAW.
Probably 20-30 patients in career where brand was truly better or necessary.December 22, 2018 at 12:04 pm MST #175938HikingDOParticipantStatus: PhysicianPosts: 369Joined: 03/09/2017
I guess it’s a fight I don’t care to have, if the patient still wants to spend more money on a name brand pill that’s chemically the same as generic ( after I’ve explained this to them), oh well. I waste my money on dumb things too.December 22, 2018 at 12:20 pm MST #175941