Pharmacy Technician PTCB Practice Test

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Why was hydromorphone not dispensed in place of Dilaudid?

  1. The patient's right

  2. Generic substitution not authorized

  3. Prescription written as Dilaudid

  4. Controlled substance differences

The correct answer is: Generic substitution not authorized

Generic substitution is not authorized because Dilaudid is a brand name medication, while hydromorphone is a generic form of the drug. This means they are not considered interchangeable and cannot be substituted for each other without explicit permission from the prescribing doctor. Additionally, both medications belong to different controlled substance schedules, with Dilaudid being a Schedule II drug and hydromorphone being a Schedule IV drug. This could also be a contributing factor as to why hydromorphone was not dispensed in place of Dilaudid.

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