Pharmacists should recommend authorized generics for patients with allergies, narrow therapeutic index drugs, or those who react poorly to regular generics. These are identical to brand-name drugs, made by the same manufacturer, and offer safety and cost benefits.
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Insurance plans use tiered formularies, mandatory substitution, and step therapy to push patients toward generic drugs, saving billions annually. But hidden PBM practices often prevent patients from seeing the full savings.
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India and China dominate the global generic drug market, supplying most of the world's affordable medicines. India leads in volume and customer service, while China controls API production and is moving into high-value biologics. Emerging economies like Vietnam and Cambodia are carving out niche roles.
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