OBJECTIVES: To determine the prescribing pattern of specialized physicians for tuberculosis in Punjab, Pakistan.  METHODS: A drug utilization study was conducted at community pharmacies among tuberculosis patients attending tertiary hospitals. A stratified sampling technique was used for selecting community pharmacies. Prescriptions written by tuberculosis specialized physicians were collected and analyzed according to WHO standard treatment guidelines.  RESULTS: The data were gathered from 750 prescriptions. Unfair number of drugs were prescribed in which the mean number of drugs in a single prescription was 7.0 (+2.1). The value of prescribing indicators was more than the WHO standard indicators. Most of the prescribed medicines (95%) were written in their brand names. Moreover, the frequently prescribed medicines were antibiotics (37.7%); anxiolytics (23.5%); and corticosteroids (29%). CONCLUSIONS: Physicians’ adherence to the standard practicing guidelines was poor although the affordability of medicines was fair but still the prescribing pattern needs to be apposite. Implementation of administrative strategies to improve the current prescribing pattern as well as patient-educational programs concerning the tuberculosis treatment are of utmost importance. In addition, further studies are required in other provinces of Pakistan in order to understand the complete prescribing behavior of the physician to treat tuberculosis throughout the country.