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They can suggest a change to the prescribing physician if they believe another medication would better suit the patient's needs or if there are contraindications for the medication currently prescribed (i.e. an allergy or conflicting medications). They are not violating HIPAA because this is a necessary communication between two of the patient's care providers.

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Q: Can the pharmacist suggest changing the prescription to another drug without the patients knowledge and would this not violate hipaa?
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