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Switching Prescriptions

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"I've been taking a prescription drug that really helps control a chronic problem. The pharmacist just called to say that my doctor switched me to a different drug. He says the switch will save me money because it will cost my drug-benefit plan less. But I don't know why I should switch. The new drug might not work as well. Am I giving up quality just to save the drug plan a few cents? Can I talk to my drug man about refusing the switch?"

In the past few years, many prescription drug companies have formed business relationships with pharmacy groups and insurance companies that handle drug-benefit plans. In some cases, pharmacies and insurers receive rebates or other financial incentives when they convince a plan member to switch to a different drug made by a "partner" manufacturer. If you are uncomfortable about making a switch, call the Food and Drug Administration, your local Department of Health, or your local Board of Pharmacy. They can help you decide whether it makes sense to change your medication.

Meantime, you may want to ask your pharmacist or physician a few important questions: Will the new drug work as well for your condition? Are there different side effects or risks? Are the dosage levels the same? Is there a business connection between the pharmacist and the drug manufacturer? Will the switch save you or your benefit plan money or cost you money?