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November 1990

Less Expensive Is Not Always Less Effective-Reply

Author Affiliations

Bethesda, Md

Arch Intern Med. 1990;150(11):2420-2422. doi:10.1001/archinte.1990.00390220146045

In Reply.—Schumock and Witte's response to the editor1 brought out the role of the hospital pharmacy in the selection of therapeutics. I have no doubt that hospital "pharmacists are (Continued on p 2422.) (Continued from p 2420.) and should be the most well-trained health professionals in the area of pharmaceutics, pharmacokinetics, and pharmacotherapy." However, they may not always be in a position by themselves "to make(s) decisions regarding the scientific evaluation of equivalent drug products." Pharmacists are not prescribers or users of drugs; they need the physicians' expertise to supplement their knowledge. The art of prescribing medication and choosing among alternate drugs is a complex one and should be made in collaboration with other health care professionals on the Pharmacy and Therapeutic (P & T) committee.

Treatment of patients is ultimately the physicians' responsibility. Unfortunately, although physicians participate on the P & T committee, it would be rare

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