{"id":7530,"date":"2015-01-26T10:08:10","date_gmt":"2015-01-26T09:08:10","guid":{"rendered":"http:\/\/www.fedaiisf.it\/?p=7530"},"modified":"2015-01-27T11:41:19","modified_gmt":"2015-01-27T10:41:19","slug":"assogenerici-no-modifica-norme-su-sostituibilita","status":"publish","type":"post","link":"https:\/\/www.fedaiisf.it\/en\/assogenerici-no-modifica-norme-su-sostituibilita\/","title":{"rendered":"Assogenerici, no changes to the rules on substitutability. Sunifar, no more disputes about replacement"},"content":{"rendered":"<p><i>&quot;If the doctor affixes the wording &#039;non-replaceable&#039;, the pharmacist cannot dispense a drug different from the one prescribed, while if this indication does not exist, he can replace the drug only if there is another equivalent one on the market at a lower price&quot;<\/i><\/p>\n<p><i><a href=\"http:\/\/streamer.adnkronos.com\/Salute\/Newsletter\/data\/Pk11e15.pdf\" target=\"_blank\" rel=\"noopener\">January 26, 2015 \u2013 PharmaKronos<\/a><\/i><i> <\/i><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" alt=\"\" src=\"data:image\/jpeg;base64,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\" width=\"271\" height=\"186\" \/>AssoGenerici &quot;understands the concerns represented by Federanziani regarding the so-called pharmaceutical zapping&quot;, but does not &quot;share the proposal to modify the rules on substitutability&quot;.<\/p>\n<p><a href=\"http:\/\/www.assogenerici.org\/articolihome\/CS_22_01_15_Evitare_le_troppe_sostituzioni_di_medicinali_non_e_una_questione_di_leggi.pdf\" target=\"_blank\" rel=\"noopener\">Second <strong>Enrique H\u00e4usermann<\/strong><\/a>, president of the association that represents companies active in Italy in the production of equivalent medicines, &quot;the various rules in force today draw a very clear picture: if the doctor affixes the wording &#039;non-replaceable&#039;, the pharmacist cannot dispense a drug other than the one prescribed, while if this indication does not exist, he can replace the drug only if there is another equivalent one on the market at a lower price.<\/p>\n<p>If the doctor indicates a precise equivalent drug, indicating the molecule and manufacturer, the pharmacist has no reason or possibility to deliver another medicine, as generics usually have the same price. Finally, if only the molecule is indicated, the pharmacist can deliver <img loading=\"lazy\" decoding=\"async\" class=\"alignright\" alt=\"\" src=\"https:\/\/encrypted-tbn2.gstatic.com\/images?q=tbn:ANd9GcSTx3I1ty2USJkmZbWX4rd7dNzDoVjYQ3blsQXswgvPev06I9bT\" width=\"358\" height=\"69\" \/>the generic it has.<\/p>\n<p>Maintaining the possibility of indicating only the active ingredient appears to be a rational measure, for example when prescribing a drug for acute conditions or when starting a new therapy, in which case the most important thing is to immediately start taking the drug\u201d.<\/p>\n<p>Related news: <a href=\"http:\/\/www.fedaiisf.it\/en\/federanziani-ora-basta-modificare-norme-e-approcci-su-farmaci-messina-zapping-farmaceutico-e-distribuzione-diretta-minacciano-salute-e-tasche-dei-cittadini\/\" target=\"_blank\">Federalians. Thats enough! Changing drug regulations and approaches. Fimmg: no prescription for active ingredient<\/a><\/p>\n<h2 id=\"cont_art_title\"><span style=\"color: #ff0000;\">Orlandi: no more disputes about substitution, the rule allows to remedy deficiencies<\/span><\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" alt=\"\" src=\"data:image\/jpeg;base64,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\" width=\"124\" height=\"151\" \/>A controversy that returns to inflame doctors, patients, companies and pharmacies and whose latest episode saw Assogenerici respond to Federanziani. The clash is always the same, the prescription for an active ingredient introduced by law 135\/2012 which \u2013 is the latest release on the subject by Snami, the second trade union of general medicine \u2013 would break the \u00abtherapeutic continuity of the doctor\u00bb, \u00abcreating confusion in the patient\u00bb due to \u00abpackaging with different writing, colors and sizes\u00bb, so much as to generate the request that \u00abthe Doctor goes back to being the sole prescriber of medicines to his patients\u00bb without \u00abothers intervening and interfering in his therapeutic choice\u00bb. \u00abI would like to underline\u00bb is the reply of\u00a0<b>Alfredo Orlandi<\/b>, President Sunifar \u00abthat the rule on substitutability has made it possible, in many cases, to be able to deliver the therapy to the patient in any case even in the event of a shortage of medicines. We pharmacists are well aware of the impact of a change in the appearance of the pill for the patient and in particular for the elderly - I recall, for example, the difficulties there were in accepting the elimination of the coloring even on the same capsule - and for this reason, when we make a replacement, we do it with a thousand warnings and providing all our support to the patient, even writing instructions on the package. Having said this, I launch a provocation: if we want to remedy the situation, we could bring the experience that exists overseas of the unpacking of medicines\u00bb. Having said this, \u00abI reiterate once again that the pharmacist, in the rural but also in the urban context, is not only a trusted pharmacist, but a family pharmacist, a point of reference for the patient who goes beyond just assistance with the drug, and extends to 360\u00b0 in the health and social fields. The pharmacist not only knows the patient, his therapy, but knows his family context and follows the patient continuously, with a high frequency and also on pathologies for which the patient does not go to the doctor\u00bb.<\/p>\n<p><a href=\"http:\/\/www.farmacista33.it\/orlandi-basta-querelle-su-sostituzione-la-norma-permette-ovviare-a-carenze\/politica-e-sanita\/news--30180.html?xrtd=LRTCRVSACXACRXTAYCPXCTS\" target=\"_blank\" rel=\"noopener\">Francesca Giani \u2013 27 January 2015 \u2013 Pharmacist33<\/a><\/p>","protected":false},"excerpt":{"rendered":"<p>\u201cSe il medico appone la dicitura &#8216;non sostituibile&#8217; il farmacista non pu\u00f2 dispensare un farmaco differente da quello prescritto, mentre se non c&#8217;\u00e8 questa indicazione pu\u00f2 sostituire il farmaco solo se ne esiste in commercio un altro equivalente a un prezzo pi\u00f9 basso\u201d 26 gennaio 2015 &#8211; PharmaKronos AssoGenerici &#8220;comprende le preoccupazioni rappresentate da Federanziani &hellip;<\/p>","protected":false},"author":4,"featured_media":7534,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[31],"class_list":["post-7530","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-notizie","tag-generici"],"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/www.fedaiisf.it\/en\/wp-json\/wp\/v2\/posts\/7530","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.fedaiisf.it\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.fedaiisf.it\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.fedaiisf.it\/en\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.fedaiisf.it\/en\/wp-json\/wp\/v2\/comments?post=7530"}],"version-history":[{"count":0,"href":"https:\/\/www.fedaiisf.it\/en\/wp-json\/wp\/v2\/posts\/7530\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.fedaiisf.it\/en\/wp-json\/wp\/v2\/media\/7534"}],"wp:attachment":[{"href":"https:\/\/www.fedaiisf.it\/en\/wp-json\/wp\/v2\/media?parent=7530"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.fedaiisf.it\/en\/wp-json\/wp\/v2\/categories?post=7530"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.fedaiisf.it\/en\/wp-json\/wp\/v2\/tags?post=7530"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}