Re: Methotrexate

From: Dr Eberhard Lisse (el@lisse.NA)
Mon Apr 30 05:13:41 2007


Glen,

that's exactly my point, if he stocks two courses, and orders as soon as one is used, no matter how much it costs, the savings will not be that much.

I doubt it's worth his effort (and I have a bit of a clue, from one of my former lifes :-)-O)

el

on 4/30/07 10:49 AM Elrod, Darryl G Maj 48 MDOS/SGOBO said the following: > I suppose its that he still has to manage a budget. Mind you, its
> millions of dollars, but its still a budget. I think, honestly,
> what he is looking at is that we rarely use methotrexate injections
> here. I think we see maybe 2-3 ectopics per month and half are
> taken to surgery. I presume, although I am completely unencumbered
> by data, that the oral is cheaper and has a longer shelf life making
> it easier to stockpile for that 1/month use.
>
> None of us felt comfortable switching without some protocol that
> showed equal effects. With the IM shot, there was always the
> thought that you could see the patient get the medication. There
> was no worry that it would not be tolerated or not taken.
>
> Glen





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