A client says to the nurse, "I just don't understand why my prescription costs so much. I tried to get a generic one, but the doctor said there isn't one yet."
Which rationales are most appropriate for the nurse to use when responding to this client's question?
1. During the time of exclusivity, there is little competition, resulting in higher prices.
2. During the time of exclusivity, there are generic versions of the drug, but the pharmacist has the right to sell only the brand-name drug.
3. Once the time of exclusivity is over, other drug companies will be able to market generic drugs for less than the brand-name drug.
4. When the generic equivalent is released, the physician may routinely substitute the brand-name version for the generic version.
5. The period of exclusivity does not apply to Internet pharmacies based in other countries.
Correct Answer: 1,3,4,5
Rationale 1: During the time of exclusivity, the pharmaceutical company determines the cost of the medication. To offset research and development costs, brand-name drugs are often expensive.
Rationale 2: During the time of exclusivity, there are no generic versions of the drug, as the pharmaceutical company tries to recoup the money it took to research and develop the drug.
Rationale 3: Once the exclusive rights end, other pharmaceutical companies will be able to market the generic version at a lower cost.
Rationale 4: In some states, the physician may routinely substitute the brand-name drug for a generic drug.
Rationale 5: Other countries are not bound by U.S. drug laws, and clients may obtain brand-name drugs for a fraction of the price. However, these countries do not have the same quality control as the United States.
Global Rationale: During the time of exclusivity, the pharmaceutical company determines the cost of the medication. To offset research and development costs, brand-name drugs are often expensive. Once the exclusive rights end, other pharmaceutical companies will be able to market the generic version at a lower cost. In some states, the physician may routinely substitute the brand-name drug for a generic drug. Other countries are not bound by U.S. drug laws, and clients may obtain brand-name drugs for a fraction of the price. However, these countries do not have the same quality control as the United States. During the time of exclusivity, there are no generic versions of the drug, as the pharmaceutical company tries to recoup the money it took to research and develop the drug.
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