Generic drugs are required to be
pharmaceutically equivalent and bioequivalent to their brand-name
therapeutic equivalents, but may differ in their physical
appearance (e.g., color, shape, size, or markings). This may result
in patient confusion and safety and efficacy concerns about the
generic drug product, and may cause patients to change or
discontinue their medication, which could lead to harmful clinical
and public health consequences. Alternatively, differences in
appearance may help patients identify their drugs and promote
positive public health outcomes. The extent to which differences in
appearance between therapeutically equivalent products create or
reduce patient confusion, affect patient medication adherence, or
are handled by pharmacists is currently unknown. This project will
conduct a survey of pharmacists and two surveys of patients
regarding their perspectives on and experiences with generic drugs
that differ in appearance from previous refills of the same
medication. The goals of the surveys are to provide insight into
the beliefs about and experiences with changes in the appearance of
generic medications, the strategies pharmacists use to notify
patients of changes in appearance, and how drug appearance may be
related to patient outcomes such as confidence in and adherence to
medication regimens.
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.