Rhode Island Multistate Pharmacy Jurisprudence (MPJE) Practice Exam

What must a prescriber write on a prescription to ensure a brand name drug is dispensed instead of a generic?

1. "Generic needed"

2. "Brand name necessary"

3. "Substitute allowed"

4. "Do not substitute"

The correct answer is: "Brand name necessary"

To ensure that a brand name drug is dispensed instead of a generic version, a prescriber must indicate that it is necessary for the brand product to be used. When the prescriber writes "Brand name necessary," it clearly communicates the intent and requirement that the pharmacy must comply with to dispense the specific brand drug. This is crucial because pharmacists are allowed to substitute a generic equivalent unless explicitly directed otherwise by the prescriber. Other phrases on a prescription can lead to confusion or might imply the opposite intent. For instance, writing "Substitute allowed" suggests that a generic can be given instead, which contradicts the desire for a brand name. Similarly, "Do not substitute" effectively communicates the same requirement but may not be the standard phrasing that ensures the brand must be dispensed. The phrase "Generic needed" would indicate that only a generic is acceptable, which is contrary to the goal of ensuring that a brand name is provided. Therefore, stating "Brand name necessary" is the most direct and clear way to fulfill the prescriber's intention.