Richard Burack, MD
To the Editors: The recent published position paper on therapeutic substitution and formulary systems (1) describes an eminently sensible way to diminish the cost of one element of medical care. The authors are surely aware that many practicing physicians still stubbornly object to prescribing generic drugs. Also, few doctors are sufficiently informed to know how to prescribe congeners of expensive drugs where the congeners are equally effective and safe and often inexpensive because they are available as generics. Informed peers on hospital formulary committees may be the best way to encourage them to learn good prescribing practices.
Pharmaceutical industry pressure
Burack R. Therapeutic Substitution. Ann Intern Med. ;113:640. doi: 10.7326/0003-4819-113-8-640_1
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Published: Ann Intern Med. 1990;113(8):640.
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