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May 25, 1970

Substitution of Drugs

JAMA. 1970;212(8):1369. doi:10.1001/jama.1970.03170210073015

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At the meeting of the American Pharmaceutical Association April 12 to 17, 1970, the association's Policy Committee on Public Affairs presented a resolution calling for repeal of state laws that prohibit a pharmacist from substituting another drug for the one specifically prescribed by a physician. Many ethical pharmacists opposed repeal of the antisubstitution acts. For instance, the March 24, 1970, issue of The Voice of the Pharmacist, published under the auspices of American College of Apothecaries, strongly alluded to the dangers of repeal.

It is alarming that the APhA House of Delegates adopted the resolution of the Policy Committee on Public Affairs. Such ill-considered action by a segment of the pharmacy profession denigrates the profession itself and indicates a disrespect for the patients the profession serves.

The antisubstitution laws currently operative are aimed at the unethical pharmacist; they place no restraint on the ethical practice of pharmacy. If a physician