My wife had this problem; she took Neoral, a brand-name immuno-suppressant, for many years. CVS, especially their mail-order-specialty pharmacy that my insuranc

My wife had this problem; she took Neoral, a brand-name immuno-suppressant, for many years. CVS, especially their mail-order-specialty pharmacy that my insurance plan forced us to use, kept trying to substitute generic cyclosporine. The problem is that she learned years ago that the generic didn't have the same effect at the same dosage, putting her transplanted liver in jeopardy. Yet month after month, no matter how often her doctors intervened, CVS kept trying to send her the generic. Last year her transplanted liver failed. She was lucky to get another one; she barely survived and she's still recovering. She's on a different immuno-suppresant now, which the hospital arranged for her to get from an affiliated transplant-specialist pharmacy in NY. CVS' horrible service wasn't responsible for her liver failing (transplants don't last forever) but the incorrect medication and missed doses definitely took its toll, and cost us a lot more than it should have when we had to pay out of pocket to buy emergency doses in-store at whatever pharmacy would supply them.