E-DRUG: generic drugs in Mexico (6)
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In South Africa, to date the pharmacist may not substitute
generically without the prior approval of the prescriber.
However, a new ammendment bill which may be soon accepted, indicates
that the pharmacist should substitute generically wherever possible
with the following exceptions:
1. the prescriber has specifically indicated that there may be no
substitution (in his own handwriting);
2. the drug prescribed is on the Medicines Control
Council list of medicines which may not be substituted for
bioavailability reasons;
3. if the generic drug is more expensive than the drug prescribed;
4. if the patient refuses the brandname to be substituted.
Tanya Boyce
Director
Medicines Information Centre
Department of Pharmacology
University of Cape Town
OBSERVATORY 7925
South Africa
Tel: (021) 406 6586
Fax: (021) 448 0503
E-mail: tboyce@uctgsh1.uct.ac.za
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