this post was submitted on 30 Oct 2023
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But think of all the doctors and pharmacists benefitting from not prescribing the generic.
Hi I am a pharmacist.
We do not benefit from the brand name. Pharma does. Sometimes the PBMs (middle men between insurance company and pharmacy) paying for it do as they get kickbacks. Sometimes they pay below the cost of the drug to the pharmacy despite them knowing perfectly well no pharmacy can get drugs that cheap. Branded drugs are not good for pharmacies.
It's the insurance companies (Specifically the Pharmacy Benefit Managers) who generally mandate the brand name over the generics. Prescribers might write the brand name on the prescription, but most (if not all) states have laws that allow automatic substitution to the generic.
Pharmacists (Who generally do not do any prescribing*) and Prescribers don't get any benefits from prescribing brand names. If they do, they're likely breaking anti-kickback laws.
(*There are clinics and states that allow pharmacists to prescribe medications. In Oregon for example, retail pharmacists can prescribe birth control. Or a clinic may have pharmacists reviewing and adjusting a patient's warfarin therapy)