If a physician indicates "dispense as written," does the pharmacist need to dispense the brand name medication if the patient prefers the generic?

When a physician writes "dispense as written," this typically means they are indicating their specific preference for a brand-name product without substitution. However, many states, including Ohio, have laws that allow pharmacists to dispense interchangeable generic alternatives unless the prescriber specifically prohibits substitution through indicated wording.

Even when a physician's order states "dispense as written," the pharmacist is often able to discuss the option of a generic medication with the patient. If the patient prefers a generic medication and the pharmacist is confident that it is interchangeable with the prescribed drug, the pharmacist may choose to dispense the generic. Importantly, this fosters patient empowerment and can enhance adherence due to lower costs associated with generics.

Therefore, the correct understanding is that pharmacists can engage with patients about their preferences and, if appropriate, fulfill those preferences by providing a generic medication.