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Huaren
等级大校
威望27
贴子22581
魅力24755
注册时间2008-01-06

xiaoyagaga

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药房能不能把品牌药换成generic dispensed

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11

2009-07-23 15:01:00

今天去拿药,结果拿了不是原来牌子的药. 当时拿回家没注意,包装不一样还以为是简易版,撕开了才发现根本不是同一个牌子的药.药片看上去质量差好多,粉粉的.
我跑回药房要求换药,护士说我包装撕开了不能换. 我说你们换牌子了也不跟我说一声,我根本没注意就撕开了,不是我的错啊,里面药片的包装还好好的.她又跟我说品脾要co-pay贵好多,我说没关系我付好了. 她又说她不能给我换包装撕开的药. 那我说找你的manager好了.manager要一个小时后回来,吃饭去了.NND,我还得跑一趟.
我查了下,pharmacy code是说可以用generic dispensed代替品牌药. 但我想这也要消费接受才行的吧,难道药房可以随意的把药换成其他牌子的,只要配方一样? 懂行的来说说看
因为刚开始吃药反应很大,我得特别小心药的牌子才这么折腾
Huaren
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lovespring

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2009-07-23 15:38:00

 我觉得药房应该先跟你说一下的。
Huaren
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minijing

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2009-07-23 15:42:00

I don't think it makes a big difference.
Huaren
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xiaoyagaga

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2009-07-23 15:49:00

以下是引用lovespring在2009-7-23 15:38:00的发言:
 我觉得药房应该先跟你说一下的。

我就讨厌他们这点,说也不说,药在袋子拿都没拿出来给我看,付了co-pay我就走人.我当时狐疑co-pay不一样,还以为这个简易版,没盒子所以co-pay不用付那么多. 这药是refill的,我根本没想到药房会换药.
Huaren
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bbfat

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2009-07-23 17:09:00

Yes, they have the right. However, they should have told you about it.


 


I don't think it's a big deal for you, since the medicine is exactly the same in ingredients.

Huaren
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lovespring

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2009-07-23 17:42:00

 我以前去拿药,如果他们没有品牌的药,他们会跟我说,然后介绍generic的给我。有的药我想要generic,我也会让他们给我换成generic的。

个人觉得虽然药成分都一样,也应该让顾客自己决定要哪种比较合理。可能你碰到的人比较不nice.


Huaren
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shoppingyaya

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2009-07-23 18:01:00

以下是引用bbfat在2009-7-23 17:09:00的发言:

Yes, they have the right. However, they should have told you about it.


 


I don't think it's a big deal for you, since the medicine is exactly the same in ingredients.


this is not necessarily true. Brands do make difference for certain drugs. Plus generic and brand drug are only the same in active ingredients, but not in inactive ingredients.

Huaren
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shoppingyaya

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2009-07-23 18:02:00

mm以后叫医生在处方上写好,不可以换成generic的就可以了
Huaren
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triones55

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2009-07-23 20:51:00

以下是引用shoppingyaya在2009-7-23 18:01:00的发言:

this is not necessarily true. Brands do make difference for certain drugs. Plus generic and brand drug are only the same in active ingredients, but not in inactive ingredients.

true but not completely true.
for drugs with narrow therapeutic index such as synthroid, coumadin, digoxin, the pk profile difference might change the therapeutic effects greatly. so it is not good and generally not allowed to switch.
for drugs with novel delievery system. brand name drugs may have better absorption. But all generic need to pass bioequivalent test before going on the market.
for drugs like birth comtrol pills. I don't think the differences between brand name and generic are that big.
using generic saves you money and saves healthcare cost.
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Huaren
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triones55

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2009-07-23 20:53:00

以下是引用shoppingyaya在2009-7-23 18:02:00的发言:
mm以后叫医生在处方上写好,不可以换成generic的就可以了

不是所有的药医生都会在brand name only那一栏签字的。
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