Is it permissible to dispense a generic starting with B?

• A. Not all are prohibited from being dispensed - each state has its own laws and rules
• B. Yes, always
• C. No, never
• D. Only with physician approval

Answer: (A)

The idea being tested is that generic substitution is not governed by a single universal rule—it varies by state. In practice, pharmacists can substitute a generic for a brand-name product when the generic is approved as therapeutically equivalent, but whether that substitution is allowed depends on state law, which can require patient or prescriber consent, prohibit substitution for certain drugs, or impose other conditions. The starting letter of the generic has no bearing on legality; what matters is the specific state regulations and the product’s interchangeability status (often indicated by FDA’s Orange Book). Because state rules differ, you can’t say substitution is always allowed or always prohibited. The correct takeaway is that not all are prohibited; each state has its own laws and rules.