Dear Editor,We read with interest an article published recently inPharmacy World and Science on consumers’ knowledge,perception, and attitudes regarding generic medicines inAuckland [1]. The article [1] energized us to give a shortcomparative overview of generic medicines’ perceptionsand attitudes in different classes and categories of consum-ers in New Zealand and Pakistan. This research letter alsoattempts to share our study experiences in which the con-temporary issue of the underutilization of generic medicinesin the Pakistani consumers was explored [2]). The site of thestudy was Karachi, which is considered to be a Mini-Paki-stan as this cosmopolitan is representative of nearly all theethnic and minority groups of the country [3]. Moreover,internalmigrationfromallaroundPakistan,simplyinsearchof better livelihood, is towards Karachi and therefore, theseinternal migrants find settlements in the peri-urban areas ofcity [3]. Being of exploratory nature, this study attempted toaddress an in-depth understanding of the issues surroundinggeneric medicine utilization, and thus semi-structured face-to-face interviews were considered the method of choice.The piloting of the semi-structured interview guide revealedastounding issues which made the principal researcherrealize to categorize consumers into low-income, middle-income and high-income groups. The characterization of theincome groups was done on the basis of categorization ofEconomic Survey of Pakistan [4]. Among the low-incomegroup settled in the peri-urban communities of Karachi,Pakistan, all the respondents were unable to relate anyunderstanding of generic medicines. This is in line with thestudy done in Auckland, where the consumers from low-income group were found to be less familiar with genericmedicines. Interestingly, in the Pakistani study, all therespondents from the less educated, low-income groupadmitted to seek treatment from drug sellers in their nearbyvicinities.Theyseldomvisitedadoctor;exceptonlyfortheirchildrens ailments. They preferred to rely more on alterna-tive treatment providers because of the low-cost treatmentoffered by them. One such provider is ‘Hakeem’, whogenerally has private practice in the peri-urban and slumareas and deals in the Unani System of Medicines. Sur-prisingly, this was not an unexpected theme in the study asPakistan enjoys an inexhaustible tradition of the use ofmedicinal plants and herbs as treatment modalities.On the contrary, highly qualified respondents from thehigh-income group showed excellent understanding ofgeneric medicines which is again in accordance with theNew Zealand study. In Pakistan, these consumers stronglyopposed the idea of using the low-cost brand which is incontrast to the findings from Auckland where consumersfrom the high-income group showed a positive perceptiontowards generic medicine. Safety, quality, and efficacywere cited as off-putting attributes of generics by thenegative holding views and attitudes of the Pakistani andthe Kiwi consumers.This brief, comparative overview of both the studieshighlighted that despite being a developed country, Kiwisshared many common issues with the Pakistani consumerstowards generic medicine use.In Pakistan, the phenomenal reasons behind the con-temporary issue of an underutilization of generic medicinecould be diverse, which is therefore, addressed by