When patients fill a prescription at the pharmacy, they may be offered a different medicine than is indicated on the prescription. This procedure, known as generic substitution, means that the pharmacy will substitute the medicine given a prescription with another medicine with the same formula whenever a generic, or different version of a original medicinal product, is available.
Different medicines may be offered
Because the least expensive product will vary, the pharmacy will offer different medicines on different occasions. This also means a certain price variation and it is the TLV which determines which medicine will be the least expensive and thus offered to patients at the pharmacy. Each month, we designate which product is to be the least expensive. We also make sure that the pharmacies perform the substitutions.
The Swedish Medical Products Agency approves substitutable medicines
The Swedish Medical Products Agency reviews all substitutable medicines. Only those which are equally effective are approved for substitution. In other words, the medicine offered at the pharmacy is as effective as the one given on the prescription.
Substitution of medicines at the pharmacy is part of the high-cost threshold system and the goal of the system is to keep medicine costs down so individual patients pay the least amount possible for medicines.