If a prescriber writes "no substitution can be made" on a prescription, what does this indicate?

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When a prescriber writes "no substitution can be made" on a prescription, it indicates a clear intention that the patient should receive the specific brand-name medication prescribed, without any substitutions with generic versions. This directive signifies that the prescriber believes that the brand-name drug is necessary for the patient's treatment, possibly due to unique formulation, efficacy, or potential allergic reactions to inactive ingredients in the generic versions.

The phrasing suggests to pharmacists and pharmacies that they must dispense the brand-name drug as specified and are not allowed to provide a generic equivalent or any alternative, which might not meet the same therapeutic standards as determined by the prescribing professional. This practice is important for patient safety and adherence to the original treatment plan as intended by the healthcare provider.

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