Pharmacist substitution authority lets pharmacists make clinical decisions like switching medications or prescribing treatments without a doctor's direct order. Laws vary by state, with some allowing generic swaps and others permitting full prescribing. This expansion improves access, especially in rural areas, but reimbursement remains a major barrier.
States are using copay differentials, pharmacist substitution rules, and Preferred Drug Lists to encourage generic drug use-saving billions without compromising care. Here’s how these policies work and what’s next.