Patients' Perceptions Of Generic Medications Although most Americans appreciate the cost-saving value of generics, few are eager to use generics themselves.

Insurers and policymakers encourage the use of generic drugs to reduce costs, but generics remain underused. We conducted a national survey of commercially in- sured adults to evaluate their perceptions about generic drugs. Patients agreed that generics are less expensive and a better value than brand-name drugs, and are just as safe. However, although 56 percent reported that Americans should use more generics, only 37.6 percent prefer to take generics. We discuss perceptions about communicating with practitioners about generics, generic substitution, and policymakers' role in influenc- ing generic use. These findings underscore the challenge that providers, insurers, and policymakers face in stimulating the cost-effective use of medications. (Health Affairs 28,