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Ideas and Opinions |

Antisubstitution Law Controversy—A Solution?

[+] Article, Author, and Disclosure Information

Grant support: grant 5A07AH00204, National Institutes of Health; and contract HSM 100-69-297, National Center for Health Services Research and Development, Department of Health, Education, and Welfare.

This paper was presented in part at the annual meeting of the American Federation for Clinical Research, 28 April 1973, Atlantic City, New Jersey.

▸Address reprint requests to Paul D. Stolley, M.D., Johns Hopkins University School of Hygiene and Public Health, Department of Epidemiology, Room 6108, 615 North Wolfe St., Baltimore, MD 21205.

Baltimore, Maryland

Ann Intern Med. 1974;81(2):254-258. doi:10.7326/0003-4819-81-2-254
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Antisubstitution laws are the state laws that require the pharmacist to dispense exactly the brand of drug prescribed by the physician. Repeal of these laws may result in saving a significant amount of money for consumers but may involve additional costs in terms of quality of health care delivery. Issues of economics, drug-product equivalence, drug-product quality, and physicians' prerogatives are discussed. The state of Maryland has recently enacted a partial repeal of its antisubstitution law. Maryland's law is evaluated in terms of these issues and the different savings and costs that the law could produce for consumers. A modified version of this law is proposed as a model for all states.





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