Express Scripts Pharmacist issued a non-formulary drug without my permission Internet

This is common practice for this company. If they are filling for patient's in states that do not have specific restrictions for filling, they will substitute generics. However, I have known of a number of complaints from patient's that a physician wrote a prescription such as this and instead of calling the physician, the company allows the pharmacist to take it upon themselves to fill it differently. In this case, instead of dispensing the generic, the pharmacist changed it all because the doctor wrote "capsule" on the prescription. This changes things greatly, it could mean the difference in the patient getting a lower cost generic and sending them a higher copay brand name medication. I have also heard of a situation where a physician wrote a prescription for a generic medication with a brand name strength. Instead of calling the doctor for clarification, (generic not available in that strength or did they intend the brand name medication) they fill it for the brand name medication in the strength that was specified on the script. I have heard of cases where this has caused unnecessary delay in the patient getting their medication and then when they do get it, it's not what they were expecting. I recommend that if you don't have to, do NOT go through Express Scripts. Also, never provide them with your credit card information. Always send in your payment after you get your medications!