Medco is a pain - you are lucky they called, I get faxes all the time asking me to sub for instance Celexa for Lexapro (in a stable pt. that tried in the past) - I get one for one patient at least 2-3 times per year and ignore (spoke to pt - she is doing very well and does not want to risk changing).
So you know they lie to patients a lot - if you put them on Crestor after trials of many generics and you finally get them to goal they will receive a letter encouraging them to change to 'pravastatin a generic alternative'. Try as you might to convince pt. that alternative is not equivalent all they see is that the pharmacist told them it was cheaper and would work.
I use generics and practice cost conscious medicine and am constantly irritated by this.
