AMA Eyes PBMs, Formularies, Unused Drugs

By Breu, Joseph | Drug Topics, January 5, 1998 | Go to article overview

AMA Eyes PBMs, Formularies, Unused Drugs


Breu, Joseph, Drug Topics


Physicians should not sell nonhealth-related goods from their offices, the American Medical Association house of delegates declared at its annual meeting in Dallas last month.

The only small exception to this rule would be the offering of low-cost nonprescription goods for the benefit of community organizations, such as the Boy Scouts or Girl Scouts. In such cases, physicians must not profit and patients must not feel pressured to buy, the house declared.

The policy, based on a report of the AMA's Council on Ethical and Judicial Affairs, did not address the question of physicians selling health-related products, such as drugs or dietary items. The Ethics Council is currently studying that issue and may release a report in the future.

The house also adopted a Board of Trustees report that reaffirmed the organization's opposition to therapeutic substitution "in any patient care setting."

The report addressed issues relating to pharmacy benefit managers (PBMs) and the use of formularies by managed care companies. It called on the AMA to work with the Pharmaceutical Care Management Association to get PBMs to incorporate AMA policies on formulary standards, ethics in managed care costcontainment of prescription drugs, and drug utilization review principles into PBM formulary management. Those principles include physician oversight of formularies and acceptance that costs must be secondary to safety and efficacy in the selection of drugs for formularies.

The report called on the Food & Drug Administration and Federal Trade Commission to continue to monitor the relationships between manufacturers and PBMs, especially with regard to manufacturers' influence on PBM formularies and drug-switching programs, and to take enforcement actions as appropriate.

It urged physicians to report to the FDA MedWatch reporting program any instances of adverse consequences"including therapeutic failures and adverse drug reactions"-that have resulted from the switching of therapeutic alternates.

In another action, the house adopted a policy calling for the return of unused medications to pharmacies from longterm care facilities (LTCFs), if certain conditions are met.

The policy is similar to that adopted by the American Society of Consultant Pharmacists. It calls for return of the drugs for credit if the drug is not a controlled substance; is dispensed in tamperevident packaging; and is returned intact; and, in the professional judgment of the R. …

The rest of this article is only available to active members of Questia

Sign up now for a free, 1-day trial and receive full access to:

  • Questia's entire collection
  • Automatic bibliography creation
  • More helpful research tools like notes, citations, and highlights
  • Ad-free environment

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items

Items saved from this article

This article has been saved
Highlights (0)
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

Citations (0)
Some of your citations are legacy items.

Any citation created before July 30, 2012 will labeled as a “Cited page.” New citations will be saved as cited passages, pages or articles.

We also added the ability to view new citations from your projects or the book or article where you created them.

Notes (0)
Bookmarks (0)

You have no saved items from this article

Project items include:
  • Saved book/article
  • Highlights
  • Quotes/citations
  • Notes
  • Bookmarks
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited article

AMA Eyes PBMs, Formularies, Unused Drugs
Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Full screen

matching results for page

Cited passage

Style
Citations are available only to our active members.
Sign up now to cite pages or passages in MLA, APA and Chicago citation styles.

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

"Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Cited passage

Welcome to the new Questia Reader

The Questia Reader has been updated to provide you with an even better online reading experience.  It is now 100% Responsive, which means you can read our books and articles on any sized device you wish.  All of your favorite tools like notes, highlights, and citations are still here, but the way you select text has been updated to be easier to use, especially on touchscreen devices.  Here's how:

1. Click or tap the first word you want to select.
2. Click or tap the last word you want to select.

OK, got it!

Thanks for trying Questia!

Please continue trying out our research tools, but please note, full functionality is available only to our active members.

Your work will be lost once you leave this Web page.

For full access in an ad-free environment, sign up now for a FREE, 1-day trial.

Already a member? Log in now.