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Canadian Rx--US docsFrom: Anna Meenan, MD (annam@uic.edu)Mon Aug 23 23:12:36 2004
I realize that as a rule OB's tend to prescribe fewer meds than us FP's, but I know some of your pt's must be on meds like Fosamax or Evista. have any of you been asked by pt's to sign order forms for ordering drugs from Canadian pharmacies? There seem to be several issues to consider here. On the one hand, my employer (U of I), a state institution, has informed me that I will be breaking the law if I do it, but the last patient who asked me to do it angrily told me that if I didn't sign she just wouldn't take her meds. The most recent concern is that I read an article somewhere about the difference in the safety factor between mail-order pharmacies and real pharmacies that patients cross the border to visit in person, that there is no guarantee that a mail-order pharmacy is legit, and that pt's might end up with something like the counterfeit Ortho-Evra patches that ended up on the market not too long ago. Am i liable if the pt ends up with bad drugs? Of course, here in Illinois, we have a governor who is actively seeking to break Federal laws to get cheaper drugs for state employees. As a state employee, I am wondering if I will someday be ordered by the gov to break federal laws.
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Anna Meenan, MD, FAAFP
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