Do drug company reps influence doctor prescribing practices?
A NPR article noted “Dermatologists who accept free tubes and bottles of brand-name drugs are likelier to prescribe expensive medications for acne than doctors who are prohibited from taking samples, a study reports…”
“The difference isn’t chump change. When patients see a dermatologist who gets and gives free samples, the average cost of medicines prescribed is $465 per office visit. That cost drops to about $200 when patients see a doctor who can’t hand out freebies, a team at Stanford University found.”
“The findings, published in the current issue of JAMA Dermatology, adds to the growing evidence that free handouts may influence doctors’ prescribing habits — and the type of medications people request.”
One recent study found that more than a third of doctors surveyed say they sometimes prescribe a brand-name drug because a patient requests it, even when there’s a generic available.
“Of course, all samples aren’t bad. They can be a big help for patients who lack insurance or are on tight budgets. And some of the name-brand drugs come in a time-released formulation, which may be more convenient for some people.”
“But often, it’s up to the patient to ensure their drug bill isn’t getting an extra, unwanted bump.”
“So some physicians — in all specialties — end up prescribing an expensive branded drug when a cheaper alternate is available.”
Click here to read the full NPR article “Free Drug Samples Prompt Skin Doctors To Prescribe Costlier Meds” by Michaeleen Doucleff.
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Doctor, Did You Wash Your Hands? ™ provides information to consumers on understanding, managing and navigating health care options.
Jonathan M. Metsch, Dr.P.H., is Clinical Professor, Preventive Medicine, Icahn School of Medicine at Mount Sinai; and Adjunct Professor, Baruch College ( C.U.N.Y.), Rutgers School of Public Health, and Rutgers School of Public Affairs and Administration.
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