Report: Generic utilization can save Medicaid millions
WASHINGTON — The American Enterprise Institute for Public Policy Research on Monday published a working paper that identified $329 million in overspending as a result of underutilization of generics.
As total spending on 20 medicines with generic equivalents totaled approximately $1.5 billion, AEI concluded Medicaid overspent by 22% ($1.5 billion versus $1.17 billion) on these pharmaceuticals.
“Community pharmacies are leading the way in consistently dispensing generic drugs,” noted Kathleen Jaeger, EVP and CEO of the National Community Pharmacists Association, commenting on the report. “In fact, we dispense them more often than other practice settings, such as mail-order pharmacies.”
“Because Medicaid is a joint federal-state program, savings from addressing this problem would accrue to both states and the federal government, although the federal share of total Medicaid spending is generally about 57%,” noted AEI research fellow Alex Brill.
On the state level, the greatest amount of overspending — where a brand-name drug was dispensed though a generic equivalent was available — was in California ($102 million), followed by Texas ($31 million), Georgia ($25 million) and Ohio ($21 million).
Brill added that thanks to the pending "patent cliff," when many blockbuster brand drugs face generic competition upon losing patent protection in 2011 and 2012, the likely future overspending in this program is even greater if new policies are not promptly adopted.
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NCPA: Florida bill sacrifices indie pharmacy in war on drugs
ALEXANDRIA, Va. — The National Community Pharmacists Association on Thursday spoke out against a Florida bill sponsored by state Rep. Rob Schenck, R-District 44, which would restrict the dispensing of controlled substances on Schedule II and III to publicly traded pharmacy chains and pharmacies that have more than $100 million in taxable revenues, or only those independent community pharmacies that have been in business more than 10 years.
The bill, H.B. 7095, was passed by the Florida House of Representatives Judiciary Committee by a vote of 12-to-6. Florida Senate president Mike Haridopolos, R-District 26, promised the bill would not survive Senate scrutiny, according to published reports.
The bill, created to deal a blow to the illegal “pill mills” in the state, would also cap the number of doses of such drugs that can be delivered to each pharmacy at 5,000 per month and require the use of tamper-proof prescription pads or electronic prescribing for all controlled substances.
“This bill is misguided and does a great disservice to patients under the guise of drug diversion,” stated Kathleen Jaeger, NCPA EVP and CEO. “There is no credible evidence to suggest that drug diversion occurs at a higher level in independent community pharmacies than that of chains. Creating an uneven competitive playing field does nothing to advance the resolution of the underlying drug diversion issue and forces many patients to leave their trusted independent community pharmacist to obtain their prescriptions at chain pharmacies.”
NCPA noted that almost 14,000 Floridians work across the more than 1,300 independent community pharmacies located in the Sunshine State. “With Florida’s unemployment rate at 11.5% and state leaders grappling with crippling revenue shortfalls, it would be incredibly short-sighted for the legislature to put its thumb on the scales against local, family-owned pharmacies,” Jaeger added.
Florida has actually long been taken into account as the center of prescribed drug misuse. Susan Langston, the acting DEA business manager supervising the diversion of prescribed drugs in Florida, affirmed that 98 of the leading 100 physicians suggesting oxycodone in the United States were in Florida, and even more of the painkiller was shelled out in the state than the rest of the nation integrated. The DEA this month stated it was examining 6 Walgreen Co pharmacies and its distribution center in Florida after the agency saw a jump in sales of oxycodone. E. Oppenheim
I'm gonna be in pharmacy school soon. at the college I'm going to they have a something called a joint program , where you can a MBA while you're getting pharmD degree. I was wondering what was the benefits of owning on independent pharmacy. What Is the salary difference from owning independent pharmacy and retail pharmacy (I know on average retail pharmacist make 100000.). And how long would it take to start indepenedent business?
Prohibition engendered black market profits are obscenely huge. Remove this and you remove the ability to bribe or threaten any government official or even whole governments. The argument that legalized regulation won't severely cripple organized crime is truly bizarre. Of course, the bad guys won't just disappear, but if you severely diminish their income, you also severely diminish their power. The proceeds from theft, extortion, pirated goods etc. are a drop in the ocean compared to what can be earned by selling prohibited/unregulated drugs in a black market estimated to be worth 400,000 million dollars. Without the lure and power of so much easy capital, it's also very unlikely that new criminal enterprises will ever fill the void left by those you successfully disrupt or entirely eradicate. Skin Care Trial Offers
Millions of fearless North Africans have recently shown us that recognizing oppression also carries the weight of responsibility to act upon and oppose that oppression. Prohibition is a vicious anti-constitutional assault on ALL American citizens by a criminally insane and dysfunctional government, which left unchallenged will end with the destruction of the entire nation. derma roller
Malcolmkyle is 100% correct. Prohibition breeds corruption and this bill stinks of it. Wiping out family owned or smaller pharmacies just plays into the hands of big pharma. It might be of some value if there was evidence that this bill would work but there’s not. What other conclusion can we come to except that Rob Schenck has an ulterior agenda? As Malcolmkyle said, it really sucks when big pharma and fascist corporations hijack your republic!
Thanks to prohibition we're about to lose all semblance of that once ordered, prosperous, free and safe society. Myself, along with many others, have been debating prohibitionists on this for many years. We have shown what destruction prohibition has wrought on all the civil institutions of this once great nation, -we've always provided facts and statistics - they, the prohibitionists, have countered with either lies, personal abuse or even serious threats of violence. Ending the insanity of drug prohibition by legalized regulation, respecting the rights of the responsible users and focusing on addiction as a sickness, like we do with alcohol and tobacco, may save what remains of our economy and civil institutions along with countless lives and livelihoods. Prohibition continues unabated for shameful political reasons. It cannot, and never will, reduce drug use or addiction. Prohibition has permanently scarred our national character as well as our individual psyches. Our national policies and cultural practices have become pervaded by the fascistic, prohibitionist mind-set which has turned our domestic police force into a bunch of paramilitary thugs who often commit extra-judicial beatings and executions while running roughshod over our rights in order to protect us from ourselves. When we eventually manage to put the horrors of this toxic moronothon behind us, we'll need to engage in some very deep and honest soul-searching as to what we want to be as a nation. Many of our freedoms have been severely circumscribed or lost altogether, our economy has been trashed and our international reputation for being free and fair has been dragged through a putrid sewer by vicious narrow-minded drug warrior zealots who are ignorant of abstract concepts such as truth, justice and decency. We'll need to make sure that such a catastrophe is never ever repeated. This may mean that public hearings or tribunals will be held where those who have been the instigators and cheerleaders of this abomination will have to answer for their serious crimes against our once prosperous and proud nation. Each day you remain silent, you help to destroy the Constitution, fill the prisons with our children, and empower terrorists and criminals worldwide while wasting hundreds of billions of your own tax dollars. Prohibition bears many strong and startling similarities to Torquemada's inquisition, it's supporters are servants of tyranny and hate. If you're aware of but not enraged by it's shear waste and cruel atrocities then both your heart and soul must surely be dead. Prohibition engendered black market profits are obscenely huge. Remove this and you remove the ability to bribe or threaten any government official or even whole governments. The argument that legalized regulation won't severely cripple organized crime is truly bizarre. Of course, the bad guys won't just disappear, but if you severely diminish their income, you also severely diminish their power. The proceeds from theft, extortion, pirated goods etc. are a drop in the ocean compared to what can be earned by selling prohibited/unregulated drugs in a black market estimated to be worth 400,000 million dollars. Without the lure and power of so much easy capital, it's also very unlikely that new criminal enterprises will ever fill the void left by those you successfully disrupt or entirely eradicate. Millions of fearless North Africans have recently shown us that recognizing oppression also carries the weight of responsibility to act upon and oppose that oppression. Prohibition is a vicious anti-constitutional assault on ALL American citizens by a criminally insane and dysfunctional government, which left unchallenged will end with the destruction of the entire nation. “I see in the near future a crisis approaching that unnerves me and causes me to tremble for the safety of my country… Corporations have been enthroned, an era of corruption in high places will follow, and the money-power of the country will endeavor to prolong its reign by working upon the prejudices of the people until the wealth is aggregated in a few hands and the Republic is destroyed.” – Abraham Lincoln, November 12, 1864 Whenever any form of government becomes destructive of these ends [life, liberty, and the pursuit of happiness] it is the right of the people to alter or abolish it, and to institute new government… - The Declaration of Independence July 4, 1776 It really sucks when big pharma and fascist corporations hijack your republic!
Study finds Januvia use could help prevent diabetes
CLEVELAND — A drug used to treat diabetes also may prevent it, according to a new study published in the journal Experimental Biology and Medicine.
Researchers at Case Western Reserve University took specially bred obese, prediabetic rats and gave them either Merck’s Januvia (sitagliptin), placebo or glyburide, an older diabetes drug. Both of the diabetes drugs lowered blood-glucose levels after the rats had eaten, but only Junuvia raised the total output of insulin by the pancreas while lowering levels of glucagon.
“These animal studies suggest that sitagliptin should be tested in the clinic as a possible diabetes-preventing medication,” study leader Paul Ernsberger said. “It may act to shore up the function of the pancreas, which deteriorates during the onset of diabetes.”
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