Exit this survey

“Therapeutic substitution” means switching a patient from the drug originally prescribed by his or her physician to “an entirely different chemical entity,” which is considered “a giant step beyond generic substitution” where the patient is switched from the prescribed drug to its generic equivalent. [Therapeutic Substitution -- Usurpation of the Physician’s Prerogative. John C. Ballin. JAMA. 1987. 257(4):528-529]

This survey has been sent to physicians, medical societies and advocates. If you'd like to receive a report of the survey results, please provide us with your contact information at the bottom of the survey.

Question Title

* 1. Do you believe that therapeutic substitution is occurring without the authorization of the attending physician?

Question Title

* 2. Do you agree or disagree with the following statement: "When physicians prescribe a particular medication, they evaluate which drug is likely to work best for the individual patient -- based on their knowledge of the patient’s illness and treatment history, other medical conditions, drug-to-drug interactions, and drug-disease interactions. Only the prescribing physician has enough clinical information to make these decisions."

Question Title

* 3. Do you agree or disagree with the following statement: "Therapeutic substitution, which switches a patient to a different drug, should only be done with the full knowledge and consent of the prescribing physician and the patient, and as a result of a discussion between them"

Question Title

* 4. Would you support legislation strengthening the requirement that the prescribing physician authorize any change to a different medication?

Question Title

* 5. Would you support legislation that would require insurers and PBMs, if they recommend therapeutic substitution, to notify and gain consent from the patient and the prescribing physician before being allowed to make such a substitution?

Question Title

* 6. (optional) Please describe how therapeutic substitution may have impacted medical practice or the lives of patients:

Question Title

* 7. (optional) Would you support a broad coalition of patients, physicians, advocates, and other organizations opposed to therapeutic substitution?

Question Title

* 8. (optional) Please provide any comments or suggestions you may have:

Question Title

* 9. (optional) If you'd like to receive a copy of a report on this survey, please complete the information below:

T