Prescribing Institutions: Explaining the Evolution of Physician Dispensing

2011 ◽  
Author(s):  
Karen Eggleston
Keyword(s):  
Physician Dispensing

Controlling physician dispensing

1987 ◽  
Vol 44 (10) ◽  
pp. 2250-2253
Author(s):  
C. S. Ted Tse ◽  
Albert J. Madura
Keyword(s):  
Physician Dispensing

Drug Dispensing by Physicians: Promoter's Claims Examined

PEDIATRICS ◽  
1988 ◽  
Vol 82 (3) ◽  
pp. 504-509
Author(s):  
Mary H. Andritz ◽  
Matthew P. Rogan
Keyword(s):  
Cost Savings ◽  
Office Visit ◽  
Third Party ◽  
Drug Dispensing ◽  
Advantages And Disadvantages ◽  
Insurance Reimbursement ◽  
Prescribing Trends ◽  
Physician Dispensing ◽  
The Cost ◽  
Made In

Experience in private pediatric practice is used to illustrate some potential advantages and disadvantages to patients and physicians of drug dispensing by physicians. Projections were based on the prescribing trends in the practice, the extent of patients' insurance reimbursement for prescriptions, the laws regarding dispensing, and the costs incurred when physicians purchase selected medications from a repackager or when patients procure them at a community pharmacy. Patients without insurance for prescriptions can potentially save money by purchasing medication at the physician's office but, in general, only if the physician's dispensing fee is minimal. Potential profits to physicians would be cut by an estimated 50% because of third-party enrollees choosing to have prescriptions filled at a pharmacy because of cost savings. Net profits are further reduced and may even be eliminated when the cost of physician and staff time to prepare, label, reorder, and maintain necessary records regarding dispensed medication are considered. Although it may be convenient for the patient to obtain initial supplies of medication at the time of an office visit, obtaining refills may be less convenient. The time and paperwork involved in dispensing by a physician cannot be considered as minimal interruptions in normal office procedure. The broad, attractive claims made in support of physician dispensing by physicians clearly overstate the benefits both to patients and to physicians.

Physician Dispensing: Issues of Law, Legislation and Social Policy

1989 ◽  
Vol 14 (4) ◽  
pp. 307-352
Author(s):  
Richard R. Abood
Keyword(s):  
Social Policy ◽  
Prescription Drugs ◽  
Federal Trade Commission ◽  
Conflicts Of Interest ◽  
Legal Issues ◽  
For Profit ◽  
Federal Laws ◽  
Physician Dispensing ◽  
Alternative Delivery ◽  
State Legislative

Despite the fact that physicians have dispensed prescription drugs for profit for several years, the practice is currently under intense challenge and controversy. This recent flare-up can be explained by several factors including the involvement of the Federal Trade Commission (FTQ, increased competition among physicians, alternative delivery systems and drug repackagers.Federal laws including the Food Drug and Cosmetic Act and Controlled Substances Act regulate dispensing practices, but have been interpreted to regulate dispensing by pharmacists, not physicians. All states have laws applicable to the dispensing of prescription drugs by physicians, but the wording of these laws raises unclear legal issues. Both uncertainty about these legal issues and pharmacists' concern over the increase in physician dispensing has promoted state legislative efforts to restrict or regulate the practice. These legislative efforts and the corresponding regulatory actions by state boards have triggered FTC involvement.From a social policy perspective physician dispensing raises significant concerns of ethics, conflicts of interest, patient welfare and economics. Based upon social policy, physician dispensing for profit is not a practice which should be condoned or allowed to flourish.

Attitudes About Physician Dispensing Among Pharmacists, Physicians and Patients

1987 ◽  
Vol 27 (10) ◽  
pp. 57-61 ◽  
Author(s):  
Matthew Perri ◽  
Jeffrey A. Kotzan ◽  
Norman V. Carroll ◽  
Jack E. Fincham
Keyword(s):  
Physician Dispensing

The Public's Attitudes, Beliefs, and Desires Regarding Physician Dispensing and Pharmacists

1989 ◽  
Vol 4 (2) ◽  
pp. 41-63 ◽  
Author(s):  
Laurence A. Pink ◽  
T. Lee Hageboeck ◽  
Donald L. Moore
Keyword(s):  
Physician Dispensing
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