If a patient has not stated a preference for a specific interchangeable product, what can the dispenser do?

When a patient has not expressed a preference for a specific interchangeable product, the dispenser can inform the patient about the availability of other interchangeable products and then choose to dispense a suitable option. This practice aligns with the principle of promoting cost-effective therapies while ensuring that the patient is aware of their choices.

By notifying the patient, the dispenser engages in informed decision-making, allowing the patient to consider options without imposing the choice on them. This approach is particularly relevant in settings where generics or interchangeable drugs are available, as it facilitates access to safe and effective medications while also potentially reducing costs.

The option to dispense only the generic medication limits the patient's knowledge and choices. Refusing to fill the prescription could lead to negative health outcomes or inconvenience, while modifying the prescription without consent can compromise the integrity of the original order and is not typically within the pharmacist's authority unless there are specific reasons to do so, such as ensuring patient safety. Thus, notifying the patient about their choices and then choosing amongst those options is the most appropriate action.