Brand or Generic? Here’s How to Make the Best Choice for You

When a generic version of your medication becomes available, you may have questions about whether you should switch. This guide explains the differences so you can make an informed decision with your healthcare provider.

1. What’s the Same?

Both brand and generic medications:

• Have the same active ingredient
• Work in the same way in your body
• Must meet Health Canada’s quality and safety standards

This means you are still getting the same medicine your doctor prescribed.

2. What Can Be Different?

Although the active drug is the same, generic versions may use different fillers, dyes, or coatings. Pharmacies may also switch between different generic manufacturers.

Some people notice differences in:

• How their body tolerates the medication
• Digestive comfort
• Symptoms returning or changing after a switch
• Allergies or sensitivities to non-medicinal ingredients

If you feel best on the brand you started with, it’s okay to talk to your healthcare provider about staying on it.

Brand vs. Generic Medication Comparison Chart Category Brand Medication Generic Medication Active Ingredient Same active ingredient as approved in clinical trials Same active ingredient as the brand medication Clinical Evidence Full clinical trial program demonstrating safety and effectiveness No new trials required; must demonstrate bioequivalence Inactive Ingredients Consistent formulation and excipients May differ (fillers, dyes, coatings) Manufacturing Consistency Same manufacturer and process each time Multiple manufacturers; processes may vary Appearance Consistent appearance May vary by supplier (color or shape) Pharmacy Substitution Dispensed consistently unless changed by prescriber Pharmacies may switch suppliers without notice Patient Experience Highly consistent; preferred when sensitive to changes May vary due to excipients or manufacturer changes Support Programs Often includes nurse support, education, refill help, and financial assistance Typically none Cost to Patient Often comparable with support programs or discounts Lower list price; varies by insurance plan Best For Patients valuing consistency or added support Patients prioritizing the lowest list price

3. Why Some People Prefer to Stay on the Brand

Patients often choose the brand because:

• Consistency matters, the brand formulation stays the same every time.
• No surprises, pharmacies can’t swap branded medication.
• Patient support programs help you stay on track (refills, nurse support, savings programs).
• You already know it works for you.

4. What About Cost?

Your pharmacy may assume the generic is cheaper, but many brands offer discounts or support programs that make your out-of-pocket cost similar to the generic price.

5. What Should You Do Next?

If your current medication is working well for you, talk to your doctor or pharmacist before switching.

Tell your healthcare provider if you’ve had issues after switching between brands or generics.

If cost is a concern, ask about brand savings programs.

Your treatment should work for YOU, staying on the brand is often an option and may be the best option for you.

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Diet and exercise alone aren’t enough to help many people reach a healthier weight. Medical treatments are needed to address the biological changes happening in our bodies that can drive weight regain. To find a physician near you who specializes in weight management, click here.

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This article was sponsored by Novo Nordisk Canada. All content is created independently by My Weight – What To Know with no influence from Novo Nordisk.