Pharmacology Book

Costs

  • Pharmaceutical Representatives

DEA

Generic

Prevention Chapter related topics

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Pharmaceutical Representatives

Aka: Pharmaceutical Representatives, Drug Reps, Prescribing Costs
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  1. Studies
    1. Evaluation of 446 physicians surveyed
      1. Higher prescribing cost risks
        1. Pharmaceutical representative exposure
        2. Group practice setting
      2. References
        1. Caudill (1996) Arch Fam Med 5:201-6
    2. Direct drug advertising to healthcare consumers
      1. Appears to increase sale of drugs
      2. May result in appropriate prescribing practices
      3. Mintzes (2002) BMJ 324:278-9
    3. Pharmaceutical samples raise overall Prescribing Costs
      1. Symm (2006) J Am Board Fam Med 19(5): 443-9
    4. Poorest patients are the least likely to receive free drug samples
      1. Typical drug sample recipient has health insurance and lives far above poverty line
      2. Cutrona (2008) Am J Public Health 98(2): 284-9
    5. >25% ($16 billion) of drug company advertising ($57 billion) was spent on samples (2004)
      1. Gagnon (2008) PLoS Med 5(1): e1
  2. Resources
    1. No Free Lunch
      1. http://nofreelunch.org
  3. References
    1. Dachs (2009) Am Fam Physician 79(10): 891-4

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