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Medical Forum / General / Pharmacy / October 2003

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OTC statuses apply to generics?

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Ned Flanders - 29 Sep 2003 16:36 GMT
When a drug status changes to OTC, does that apply to generics as
well?  May I purchase the generic from the pharmacy without a
prescription?

Thank you,

Ned
Aimee G - 29 Sep 2003 17:13 GMT
> When a drug status changes to OTC, does that apply to generics as
> well?  May I purchase the generic from the pharmacy without a
> prescription?

Our pharmacy sells bottles of generic Claritin #100 tablets for about 50$. A
customer can buy it without a prescription because when the whole package is
purchased, it comes with all the information necessary for a customer to
read the instructions, warnings, etc . If a person only wants to purchase a
portion of the same bottle, say #30 tablets, a prescription is necessary
because the package information cannot be provided with the tablets as they
are part of the unbroken package.

With Prilosec going over the counter, Pharmacists are generally instructed
to still fill prescriptions with Rx stock. It is not prudent to look at a
prescription and pointing over to the OTC section because of the information
provided.  Only a doctor can approve the use of the OTC product.

If a generic product isn't available for an OTC item-- which is rare-- you
can only get the generic from a pharmacy without an Rx  if they have it
packaged with all the information mandated for an OTC drug, and then you
must buy the entire unbroken package.

The information rules are the reason behind folic acid generally being Rx
only in most pharmacies-- because we stock it in bottles of #1000 tabs or
more, and who the heck is going to buy a whole bottle of that?

Aimee
Glenn Gilbreath Jr. - 01 Jan 2002 06:00 GMT
<snipped previous postings...>

>The information rules are the reason behind folic acid generally being Rx
>only in most pharmacies-- because we stock it in bottles of #1000 tabs or
>more, and who the heck is going to buy a whole bottle of that?

>Aimee

Something to bear in mind in regards to folic acid...most of the
prescription strengths are 1 mg, 1000 micrograms...the OTC strength
is usually 400 micrograms, sometimes 800.  The 1 mg is not approved
for sale without prescription, as far as I remember, anyway.
C U L8R!
Wiz  <{;-)

Wizard57M
Glenn Gilbreath Jr.
Registered Pharmacist
http://members.surfbest.net/wizard57m@surfbest.net/index.htm
-- DOS Internet, Close Windows and Keep the Internet Open! --
Glenn Gilbreath Jr. - 01 Jan 2002 06:00 GMT
>From: "Aimee G" <pharmacist@at.iwon.com>
>Subject: Re: OTC statuses apply to generics?
>Date: Mon, 29 Sep 2003 16:13:44 GMT

>> When a drug status changes to OTC, does that apply to generics as
>> well?  May I purchase the generic from the pharmacy without a
>> prescription?

>Our pharmacy sells bottles of generic Claritin #100 tablets for about 50$. A
>customer can buy it without a prescription because when the whole package is
[quoted text clipped - 3 lines]
>because the package information cannot be provided with the tablets as they
>are part of the unbroken package.

>With Prilosec going over the counter, Pharmacists are generally instructed
>to still fill prescriptions with Rx stock. It is not prudent to look at a
>prescription and pointing over to the OTC section because of the information
>provided.  Only a doctor can approve the use of the OTC product.

>If a generic product isn't available for an OTC item-- which is rare-- you
>can only get the generic from a pharmacy without an Rx  if they have it
>packaged with all the information mandated for an OTC drug, and then you
>must buy the entire unbroken package.

>The information rules are the reason behind folic acid generally being Rx
>only in most pharmacies-- because we stock it in bottles of #1000 tabs or
>more, and who the heck is going to buy a whole bottle of that?

>Aimee

Not only the points made by Aimee, but especially true in the Prilosec
case...Rx Prilosec is NOT interchangeable, strictly speaking...it
contains a different salt form of omeprazole.
As for "automatic OTC status to generics"...no...what it means is
a manufacturer can apply to the FDA to have approval for their version.
The active ingredients of the generic version must be same salt form,
and same bioequivalence as the brand counterpart, irregardless if Rx
or OTC (that is the theory, anyway...reality may or may not hold true!)
C U L8R!
Wiz  <{;-)
Wizard57M
Glenn Gilbreath Jr.
Registered Pharmacist
http://members.surfbest.net/wizard57m@surfbest.net/index.htm
-- DOS Internet, Close Windows and Keep the Internet Open! --
Ned Flanders - 30 Sep 2003 19:49 GMT
Aimee, Glenn, thank you both! Makes perfect sense to me!  

Cheers,

Ned
Glenn Gilbreath Jr. - 01 Jan 2002 06:00 GMT
>From: nedflanders@psu.edu (Ned Flanders)
>Subject: Re: OTC statuses apply to generics?
>Date: 30 Sep 2003 11:49:39 -0700

>Aimee, Glenn, thank you both! Makes perfect sense to me!  

>Cheers,

>Ned

Hey, how about that!  Glad to help...
ps.  is your name really "Ned Flanders",
or is that just a pseudonym?  I could
almost hear some of the group making
"Bart Simpson" noises in the background!
C U L8R!
Wiz  <{;-)
Wizard57M
Glenn Gilbreath Jr.
Registered Pharmacist
http://members.surfbest.net/wizard57m@surfbest.net/index.htm
-- DOS Internet, Close Windows and Keep the Internet Open! --
Aimee G - 01 Oct 2003 04:11 GMT
Okaly dokaly, Neddy...

> Aimee, Glenn, thank you both! Makes perfect sense to me!
>
> Cheers,
>
> Ned
 
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