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Adapted from "What you should know about Generic Drugs", Barbara White Sax, Pharmacy Times, February 2000 Supplement.


FDA Sites:

http://www.fda.gov/cder/news/nightgenlett.htm

http://www.fda.gov/cder/ogd/index.htm



Frequently Asked Questions about Generics


What are Generic Drugs?
Why is there a difference in cost between branded and generic drugs?
Are generic drugs as safe and effective as branded drugs?
Do generics differ at all from brands?
Is the quality level the same?
How do you know which is right for you?


What are Generic Drugs?

A generic drug is the bio-equivalent version of a brand name drug. Bio-equivalence, certified by the U.S. FDA, means a generic drug has the same dosage form, safety, strength, route of administration, quality, performance characteristics and intended use as the branded version of the drug. Although therapeutically equivalent to their branded counterparts, generic drugs are typically sold at substantial discounts from the branded price.


Why is there a difference in cost between branded and generic drugs?


New drugs, like other new products, are typically developed with patent protection. The patent protects the investment a company makes in investing in the drug's development by giving the company the right to exclude others from selling the drug while the patent is in effect. When patents expire, other manufacturers can make and sell the FDA approved generic versions of the drug. The ANDA process does not require the drug sponsor to repeat the costly animal and clinical research on ingredients or dosage forms already approved for safety and effectiveness. Since generic manufacturers have plenty of competition, lower R&D costs, and spend much less on advertising and marketing efforts, their products are priced much lower than branded counterparts.

According to the Congressional Budget Office, generic drugs save consumers an estimated $8 to $10 billion a year at retail pharmacies. Even more is saved when hospitals use generics.

According to the Genetic Pharmaceutical Association (GPhA), generics account for more than 51 percent of all prescriptions filled but only eight percent of the dollars spent on prescription drugs. Consumers, insurers and governments can save even more through greater utilization of these safe, affordable generic drugs.


Are generic drugs as safe and effective as branded drugs?


The U.S. FDA regulates all generic products under strict guidelines, requiring the same testing as the branded product to ensure that the generic version is interchangeable with its branded counterpart.

For both brand name and generic drugs, the U.S. FDA works with pharmaceutical companies to ensure that all drugs marketed in the U.S. meet specifications for identity, strength, quality, purity and potency. In approving a generic drug, the U.S. FDA has tests and procedures to ensure that the generic drug is interchangeable with the brand name drug under all indications and conditions of use for which the branded product is approved.


Do generics differ at all from brands?


Generics may differ slightly from brands in regards to inactive ingredients. The U.S. FDA allows generics to use different inactive ingredients, from those used in the brand, as long as bioequivalence is attained. Inactive ingredients, such as fillers and dyes, do not affect the safety or performance of drugs or API.


Is the quality level the same?


The U.S. FDA states that an AB rated generic product can be interchanged with its branded counterpart. The U.S. FDA also continuously ensures that the companies test the quality of products currently on the market, and regularly inspects the pharmaceutical manufacturing facilities of generic companies for quality control.

Health professionals and consumers can be assured that U.S. FDA-approved generic drugs have met the same rigid standards as the innovator drug. To gain FDA approval, a generic drug must:

Contain the same active ingredients as the innovator drug (inactive ingredients may vary)
Be the same in strength, dosage form and route of administration
Be therapeutically equivalent
Meet the requirements for identity, strength, purity and quality
Be manufactured under the same strict standards of FDA's good manufacturing practice regulations required for innovator products


How do you know which is right for you?

Physicians and pharmacists are the best sources of information regarding prescription drugs since they have years of training and experience, and are aware of the latest developments in the industry. Speak to your physician and/or pharmacist about whether a generic or branded product is the best course of treatment, and always let them know of any changes you notice in your reaction to your medication.