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Sometimes with a very minor change to make it patentable again.
(startrek.website)
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this post was submitted on 30 Oct 2023
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Article 85.4 from the Law 29/2006 about warranties and rational use of medicines and health products (Spain):
No idea if it's a law, but in Finland pharmacist is always offering a cheaper brand even if doctor has written a specific drug name
Might just be my experience too idk
Same in the US unless it's marked as not substitutable.