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Re: Doctors and Drug Makers: A Move to End Cozy TiesFrom: Joanne Bulley, MD (islesannie@gmail.com)Mon Feb 12 15:41:20 2007
Absolutley. I do a LOT of explaining to patients why they do not need whatever they heard advertised on TV. I take the pens and the lunches - but often argue with the rep as to why theirs would not be my first choice. If my NOT taking a pen or pad of paper or lunch from the complany would decrease the cost to the consumer - then I will be right on that plan. But as long as the direct to comsumer info uses up a fair bit of myh time with the patients - why should I not take those feebies? Insurance companies look for any way to decrease reimbursements - and buying pens and pads of paper do have a small impact on the bottom line - and I will take what feebies I can take. It doesn't have to make me prescribe more of one product. I am always telling the reps that I am not a one-drug prescriber. And I prescribe the generics when appropriate. I happen to observe that the generic hormone patches are not equivalent to the name brand. They don't stick as well and I have patients with more symptoms. With Patches I always have the patient start with Climara or Vivelle -- and after seeing how the "real" branded / well studied patch works - then try the generic. The number of patients who can't stand the generic patches is significant. I also see ones who show symptoms of variable estrogen levels despite the A/B rating saying the generic patches that are thick and stick poorly are "equivalent". NH does not allow pharmacies to tell the drug companies who is prescribing what - so they can't visit you based on your proflie. The drug companies are fighting that but so far the state legislature is holding firm. Joanne
At Mon, 12 Feb 2007, art fougner, md wrote:
>
-- Joanne Bulley, MD, FACOG Solo gyn Keene, NH USA
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