The authorization of a therapeutic interchange and notification of the prescriber should occur according to the organization’s policy. In some organizations, prescribers agree to the therapeutic interchange process as part of their overall agreement to follow the organization’s policies when they are granted prescribing privileges. Other organizations require that the prescriber be notified each time a medication is interchanged. A process should be established for when the prescriber wishes to opt out of the interchange. Adequate educational initiatives should be undertaken to ensure that everyone affected (prescribers, patients, pharmacists, nurses, and other health care professionals) is notified of the therapeutic interchange. Guidelines on therapeutic interchange are available elsewhere