Drug Topics

Monthly news magazine reports on all phases of pharmacy for community and health-system pharmacists. Concise, easy-to-read news reports cover managed care trends, professional issues, national and state governmental activities, new prescription drugs, OTCs, and new merchandising and marketing techniques.

Articles from Vol. 140, No. 8, April 22

American Drug Stores: Managed Care Leader
As managed care continues to dramatically redraw the healthcare landscape, Drug Topics decided it was time to single out as its Pharmacy Chain of the Year a company that has responded to these challenges. While several chains fit the category, the winner...
A New Rule
Although home care providers must comply with yet another federal regulation, most view the new rule as a good one. An amendment to the Safe Medical Devices Act (SMDA) of 1990 now requires home care providers to keep records of adverse events involving...
Cardia-Safe Antidepressant
The selective serotonin reuptake inhibitor paroxetine (Paxil, SmithKline Beecham) should be considered as a first-line treatment for depression in patients with cardiovascular disease, according to results of a study presented at the recent American...
Contraception for Moms: The Progestin-Only Pill Approved for Lactating Women
Post-partum women who breastfeed have a new contraceptive option: the progestin-only birth control pill. New labeling for the progestin-only pills, which have been around for more than 20 years, states that the drugs can be used as early as three weeks...
Court Cases Moving Assisted Suicide to Front Burner
With the legality of physicianassisted suicide heading to the Supreme Court, the role of pharmacists in dispensing lethal doses of prescription drugs intended to end a patient's life is coming into sharper focus. Twice in less than a month, federal appeals...
Drug Interactions Can Worsen Gastro Problems
As the population of the United States ages, the incidence of gastroesophageal reflux disease (GERD), a condition in which gastric contents are refluxed back into the esophagus, is likely to increase as well. That's the prediction of medical experts...
House Reform Bill Shields Rx Compounding by Pharmacists
Protection of pharmacist compounding from FDA regulation is part of new reform legislation being debated in the House Commerce Committee this month. The provision would apply to Rxs compounded "by a licensed pharmacist on the order of a licensed physician."...
Industry and Pharmacy Locked Together
The distribution system for pharmaceutical products is enormous, and it is complex. There is nothing else out there like it. Industry, medicine, and pharmacy are locked together in this system. Legend prescription products find their way to the ultimate...
It Works: Counseling Boosts Satisfaction, USC Finds
Patient counseling works. That's the conclusion of a two-year, 11,000-patient study by University of Southern California School of Pharmacy researcher Jeff McCombs that began in November 1992. Patient counseling by pharmacists not only boosts patient...
Judge Rejects Settlement in Class Action Lawsuit
Finally, someone is listening to community pharmacists. After years of R.Ph.s complaining about a class of trade drug pricing system that they felt discriminated against them, a federal judge agreed. U.S. District Court Judge Charles P. Kocoras on April...
Like Sand at the Shore, Sun Care Items Abound
Sales of suntan, sunscreen, and sunblock products were up 2.4% and totaled $393,494,208 through drugstores, food stores, and mass-merchandisers in 1995, according to Information Resources Inc. Drugstore sales of these products amounted to $173,179,136,...
More Medicaid Programs Turning to Managed Care - Part 2
he way Medicaid programs are handled varies from state to state, but the trend is clearly toward the use of managed care organizations. As reported in Part 1 of this two-part series (Drug Topics, April 8), states view MCOs as superheroes that will rescue...
New Stand-In: Salt Substitute May Help Reduce Blood Pressure
new salt substitute for hypertensive patients will be sold .exclusively through pharmacies. Billed as a medical food, Cardia Salt Alternative is intended for use under medical supervision by patients with high blood pressure who have had trouble reducing...
Offering Counseling versus the Duty to Warn
"Consequently, the pharmacy, as well as the physician, owed her the duty to warn."This sentence, from an opinion of the Tennessee Supreme Court, creates a potential dilemma. What is the pharmacist's duty to the patient-to offer counseling or to provide...
On the Go: Pharmacist Wanderlust Sets 1995 License Transfer Record
record number of pharmacists transferred their licenses last year. The National Association of Boards of Pharmacy reported a total of 4,741 transfers-16 more than in 1994. Despite a noticeable dip during the recessionary days of 1991, NABP's Licensing...
Pharmaceutical Care in the Community Pharmacy
s a student at Ole Miss in the 1960s, I began to feel a real sense of pride in my role as a future pharmacist. I could envision my career in pharmacy as an opportunity to play an integral part in the delivery of health care and attain a measure of respect...
Retail Pharmacists Filled 2.3 Billion Rxs in '95
It's no wonder community pharmacists have been complaining that there's never time for a break; they were too busy filling 2.3 billion prescriptions last year.The number of Rxs dispensed in the retail market in 1995 rose 6% to 2,310,388,000, according...
RoboR.Ph.: Is Community Pharmacy Ready for Automated Dispensing?
RoboR.Ph.s that can select, fill, label, and deliver a prescription order faster and more accurately than human hands are on the verge of breaking out of the hospital and into community pharmacy. The question is not whether automated dispensing is headed...
R.Ph.S Get Sympathetic Senate Hearing, Not Much Else Now
Sen. William S. Cohen clearly was understanding. "It's a real problem for [pharmacists]," said the Maine Republican. "They're not compensated" for patient counseling. They have a "valid complaint." Cohen commented on the decline of retail pharmacies...
R.PH.S Steamed over AIDS Drug's Limited Distribution
Retail pharmacists and AIDS activists are upset over the decision by Merck & Co. to restrict retail distribution of its new protease inhibitor Crixivan (indinavir sulfate) to a single distributor-Stadtlanders Pharmacy, an express delivery pharmaceutical...
Rush Jobs: FDA Changes Should Hasten New Cancer Rx Approvals
It's a chance worth taking. That sums up the Food & Drug Administration's attitude toward its plan to rush cancer treatments to patients through an accelerated approval process as its does for AIDS medicines. "We are taking some risks," offered FDA...
Southern Exposure: K&B Coming on Stronger, Appoints Pharmacy Chief
Prompted by its rapidly growing prescription business, K&B Services Inc. created a new administrative position in midFebruary, naming Larry Hruska v.p. and director of pharmacy.Hruska brings a background of chain drug company experience to his responsibility...
Study Advances Osteoporosis Drug for Paget's Disease
drug approved by the Food & Drug Administration for osteoporosis and Paget's disease in late 1995 may be underutilized in Paget's disease.Fosamax (alendronate, Merck & Co.) "appears to be so effective at suppressing disease activity that the...
Understanding Medicaid Waivers
State governments that would like to encourage the enrollment of their Medicaid recipients in managed care organizations (MCOs) must first obtain permission from the Health Care Financing Administration (HCFA) to allow for this to happen.Under the Social...
Untimely Death Keeps R.Ph. from Enjoying His Lottery Win
pharmacists and patients in South Dallas are mourning the death of Johnny R. Brewster. The owner and operator of Citizens Pharmacy for nearly 20 years, Brewster won a $12.9 million lottery in May 1995 and then died of a heart attack last month, after...
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