Health care cost and expenditures for drugs are rising day-by-day in all healthcare systems in the world. Parallel to the global trends in pharmaceutical market, Generic drugs and Branded drugs have become crucial factor in drug prescribing. In Sri Lanka the drug usage and its distribution pattern have changed with the liberalization policies. Within this context, the study examined the doctors’ attitudes toward the practice of Generic name and Brand name in drug prescribing. The study was carried out using qualitative data collection methods in National Hospital of Kandy, Sri Lanka. It found that majority of doctors used generic name in drug prescribing. Their decision was based on five factors; quality of the drug, patient related factors, factors related to branded drug companies, factors related to pharmacies and factors related to insurance companies. Nevertheless, promotional and marketing strategies of generic and branded drug companies were appeared as a pull and push factor for their decision.