PHARMACY

Dr. Reddy’s launches moxifloxacin tablets

BY Ryan Chavis

HYDERABAD, India — Dr. Reddy’s Labs announced the launch of moxifloxacin hydrochloride tablets, the generic version of Avelox tablets, in 400-mg form. The drug is available in bottle counts of 30.

Avelox tablets had U.S. sales of approximately $195 million for the 12 months ending in December 2013, according to IMS Health.

 

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PHARMACY

Merz North America names new VP managed markets

BY Michael Johnsen

GREENSBORO, N.C. — Merz North America on Tuesday announced the appointment of Gregory Bass as VP managed markets. In this role, Bass will primarily be responsible for developing Merz’s North American market access and reimbursement strategy to enhance patient access to Merz prescription products. Bass will join Merz’s North America leadership team and will report directly to Bill Humphries, president and CEO of Merz North America.

"Greg brings broad experience in the industry across multiple specialties, including oncology, immunology, dermatology and neurology," Humphries said. "Greg’s success in previous sales, marketing and managed market roles, along with his reputation for driving team performance and strategic results makes him an ideal fit for a growing and customer-focused company like Merz."

Prior to joining Merz, Bass held the position of senior director, managed markets at Johnson & Johnson Healthcare Systems. Under his leadership, that team managed and grew a $6 billion portfolio of immunology and oncology products.

Bass has more than 17 years of experience in the pharmaceutical and biopharmaceutical industries and holds a Bachelor of Arts degree in Biology from Brandeis University in Waltham, Mass. Bass will be based out of Merz’s North American headquarters.

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CDC: ‘Many abusers of opioid pain relievers are going directly to doctors for their drugs’

BY Michael Johnsen

ATLANTA — Most people who abuse prescription opioid drugs get them for free from a friend or relative — but those at highest risk of overdose are as likely to get them from a doctor’s prescription, Centers for Disease Control researchers reported Monday in a research letter, “Sources of Prescription Opioid Pain Relievers by Frequency of Past-Year Nonmedical Use: United States, 2008-2011,” in the Journal of the American Medical Association Internal Medicine.

This finding underscores the need for prevention efforts that focus on physicians’ prescribing behaviors and patients at highest risk for overdose, CDC suggested.

“Many abusers of opioid pain relievers are going directly to doctors for their drugs,” stated CDC Director Tom Frieden. “Health care providers need to screen for abuse risk and prescribe judiciously by checking past records in state prescription drug monitoring programs. It’s time we stop the source and treat the troubled.”

Data have shown that the majority of all people who use opioids for nonmedical reasons (using drugs without a prescription, or using drugs just for the “high” they cause) get the drugs from friends or family for free. Prevention efforts have focused on this group, emphasizing methods such as collecting unused medications through take-back events that are aimed at providing a safe and convenient way of disposing of prescription drugs responsibly.

But these efforts fail to target those at highest risk of overdose: people who use prescription opioids nonmedically 200 or more days a year. CDC’s new analysis shows that these highest risk users get opioids through their own prescriptions 27% of the time, as often as they get the drugs from friends or family for free or buy them from friends. And they are about four times more likely than the average user to buy the drugs from a dealer or other stranger.

Researchers analyzed data for the years 2008 through 2011 from the Substance Abuse and Mental Health Services Administration’s National Survey on Drug Use and Health. Other major sources of opioids for frequent nonmedical users include obtaining drugs from friends or relatives for free (26%), buying from friends or relatives (23%) or buying from a drug dealer (15%).

Also in this week’s issue of JAMA Internal Medicine is an in-depth investigation of the opioid overdose death problem in Tennessee. The Tennessee Department of Health, Vanderbilt University School of Medicine, and CDC found that high-risk opioid use is frequent in the state, is increasing and is connected to an increase in overdose deaths. The article, “High-Risk Use by Patients Prescribed Opioids for Pain and Its Role in Overdose Deaths,” covers a 5-year period (2007-2011) during which opioid prescribing rates increased 32% (from 108 to 143 prescriptions per 100 population). The authors found that one third of the population of Tennessee filled a prescription for an opioid each year. Opioid analgesic-related overdose deaths were strongly associated with being prescribed high dosages of opioids (greater than 100 morphine milligram equivalents a day) and with obtaining opioids from multiple prescribers and pharmacies.

Steps the federal government is taking to help prevent prescription drug overdose and abuse include: 

  • Tracking drug overdose trends to better understand the epidemic;
  • Encouraging the development of abuse-deterrent opioid formulations and products that treat abuse and overdose;
  • Educating health care providers and the public about prescription drug abuse and overdose;
  • Requiring that manufacturers of extended-release and long-acting opioids make available to prescribers educational programs about the risks and benefits of opioid therapy, choosing patients appropriately, managing and monitoring patients and counseling patients on the safe use of these drugs;
  • Developing, evaluating and promoting programs and policies shown to prevent prescription drug abuse and overdose, while making sure patients have access to safe, effective pain treatment; and
  • Supporting states’ efforts by providing the science and resources to help states address the key drivers of the epidemic: high-risk prescribing and high-risk prescription drug use.

Steps that many states are taking include:

  • Enhancing and integrating prescription drug monitoring programs — electronic databases that track all prescriptions for opioids in the state and identify high-risk use of opioids. Half of individuals who were prescribed opioids, and overdosed, in the Tennessee study could have been identified through such a database in advance of their deaths, CDC noted;
  • Using medical claims data to identify improper prescribing of opioids;
  • Setting up programs for public insurance programs, workers’ compensation programs and state-run health plans that identify and address improper patient use of opioids;
  • Passing, enforcing and evaluating pain clinic and other state laws to reduce prescription opioid abuse;
  • Encouraging state licensing boards to take action against inappropriate prescribing; and
  • Increasing access to substance abuse treatment.

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