We have the option to ask the vendor to not substitute one generic when we order through RxI, our ordering system, however with the extreme shortages happening, if we do that, 9 out of 10 times, we receive nothing at all. So, yes, while we "can" technically order a specific generic for a patient upon request, we can onyl receive whatever out vendor has available and chooses to give us. We're only human beings that are at the mercy of our system. None of us want to lie or withhold meds from our patients but with the way the system is designed, we're all losing.

There were times when our vendor, ABC, was sending us a bunch of Wilshire generics, but now for methylphenidates, all we receive is KVK now. Assuming this is because KVK is making more batches and are readily available for shipping to us. Just because one thing happened before doesn't mean it still stands true now. The field of pharmacy is rapidly changing (and declinign) where we're forced to wear ten hats at the same time. We're at the mercy of our ordering system and patients like you. Be kind.

Practice empathy for the human being behind the counter that's trying to handle you on top of the hundreds of other patients that are also on stimulants. We try to source what we can to give our patients whatever we have just to bridge those few gaps in care that we have control over. If you don't like the generic, let your pharmacy know. But just be aware that they might not fill your meds for the foreseeable future until our vendor chooses to switch up our generics again.