What must prescribers do when a generic medication is available according to New York State law?

In New York State law, when a generic medication is available, prescribers are required to fill prescriptions with the generic version of the medication unless there is a specific indication stated otherwise, often referred to as "Dispense As Written" (DAW). This practice is designed to promote the use of more cost-effective alternatives to brand-name drugs, which effectively helps in reducing healthcare costs for patients, insurance providers, and the overall healthcare system.

By defaulting to generic medications, prescribers help ensure that patients have access to equally effective treatments while keeping costs lower. If a prescriber believes a specific brand is necessary for the patient's treatment—due to factors such as efficacy, tolerability, or patient history—they can indicate "DAW" on the prescription.

This approach strikes a balance between promoting cost savings through generics while still allowing the flexibility to prescribe a brand name when necessary for individual patient care. The other options do not align with this standard practice; for example, always choosing the brand name overlooks the availability and potential benefits of generics, while prescribing only generics ignores the need for flexibility. Leaving the generic option blank does not provide clarity on the desired medication type, which could lead to confusion or errors in dispensing.