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SUBSTITUTION EXTRAORDINARY.

JAMA. 1902;XXXVIII(1):39. doi:10.1001/jama.1902.02480010043011.
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ABSTRACT

Substitution as generally understood is one of the abominable evils against which physicians have to be on their guard. The only way to get rid of this evil is for a physician to insist on having his prescriptions filled by a reliable druggist, and then watch this druggist occasionally to see that he does not fall from grace. The reputation of the physician, the health, and sometimes life, of the patient depend on the correct filling of prescriptions. Whilewe believe that very few druggists are guilty of substitution, some of them are. We refer now to the substitution of "something just as good" for a similar preparation and which the druggist may believe will answer the purpose, especially if it is cheaper. But the druggist who places his "belief" above the written instructions of the physician will be dishonest in other ways and should be treated accordingly. Our attention, however,

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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