By Lindsay Tice
,
Staff Writer Sunday, March 23, 2008
By the end of the year, Maine may have its own roving representatives to counter the influence of traveling drug company reps on doctors.
In an effort to save money and help patients, Maine is teaming with New Hampshire, Vermont and Prescription Policy Choices, a national nonprofit based in Maine, to give doctors information about prescription drugs - a kind of anti-drug-rep program.
"We take what the pharmaceutical industry does so well and apply it to basically unbiased information in the form of giving doctors just the data," said Jude Walsh, head of prescription drug programs for the Governor's Office of Health Policy and Finance.
Drug company reps travel from doctor's office to doctor's office with information about their company's latest drugs. They typically offer free samples, free food and free gifts to entice doctors to listen and to thank them for their time. Drug companies say they're giving doctors important, life-saving information about medications.
Experts say the information is a thinly disguised sales pitch and that drug company reps don't talk about generic drugs, older drugs or alternatives to medication.
Last year, the Maine Legislature passed a law allowing the state to establish a program in which neutral experts educate doctors about drug trials, side effects and which drugs work best for which ailment.Since then, Prescription Policy Choices has received $56,000 in grants from groups including the Maine Health Access Foundation to plan such a program.
"I want to make sure when I go to my doctor, when they're prescribing me something, that they're using science in determining what drug is best for me rather than marketing strategies," said Ann Woloson, executive director of Prescription Policy Choices.
The program would reward doctors with continuing education credits.
A handful of states, including Vermont, already have some form of an anti-drug-rep program. Prescription Policy Choices would expand Vermont's work and start it in New Hampshire and Maine.
Experts believe the program will eventually save patients and the state's Medicaid program money because doctors will have more information about - and will feel more comfortable prescribing - generic drugs and older drugs, both of which are typically cheaper than new, brand-name medications.
They point to Pennsylvania, which spends about $1 million a year on its anti-drug-rep program. According to a recent Associated Press story, the state saved about $572,000 a year on heartburn drugs alone with its program.
Maine's program would be more modest than Pennsylvania's program, Woloson said.
"Our goal is to make sure patients are healthy," Woloson said. "Now, if states can save money while doing that, great."
Because it's still in the planning stages, it's unclear how many representatives Maine would have and whether they would visit individual doctors or groups. Officials hope to have the program running by the end of the year.
Posted By:Celeste at March 23, 2008 9:29 AM(Suggest Removal) First, it is against MOST drug companies, under the PHARMA national guidelines to give doctors gifts in anyway. Yes, they have dinner programs, with educatinal speakers, or lunches, which give the rep time with the provider to explain insurance coverage, and pharmacokinetics of the product they represent. This is the forum that has been accepted for years not just by drug reps, but by a majority physicians as well. Drugs reps do not just give "free food". Also, when a drug rep is doing their job correctly, it is professional to mention the differences between the promoted product and what is generically available and also covered and the less cost with the BEST BENEFIT for the patient. Just because there are generics available it does not mean it is the best fit for the patient because it is cheaper. There is much else to consider. Not only do drug reps promote their products, but they are also responsible to extend information regarding their company and how patients can get much needed medication when they cannot afford it, through drug company programs. As an ex drug rep, I guess I get defensive when the companys are attacked in just one way - slanted negative - there are a lot of good things they do - and a lot of good people with families that represent them in an ethical and professional way. No one is just trying to waste a doctor's or a patients time. I believed in delivering the correct information that benefited both patient and doctor, and yes there were times when other alternatives were more cost efficient and a better choice. But there were also times, where serious side effects far outweighed the patient savings. In general, not that the program is the worst idea, just the slanted comments on why the program is being put in place is unfair.
Posted By:ray at March 23, 2008 11:25 AM(Suggest Removal) Let's face it a salesman's job is to promote his company's products. Meeting the doctors at gas stations, restaurants etc is good business practice and gets time to sell a product. Free samples are good to introduce a patient to new products, but to expect a company salesrep to push a $4.00 generic rather than their expensive counterpart is ludicrous.
Many a time the $4.00 generic does the job just as well. These generics are the wonder drugs of a few years ago. Fortunately my doctor always keeps cost in mind when prescribing medication. He will even advise me if a higher cost version is available, but explain the reason for his choice of the lower cost alternative.
Hopefully this program will be of benefit to us all. This, though, should be funded by insurance companies selling drug prescription plans and not by the State. They are the ones who will save money.
ICAEL accreditation is the mark of quality for echocardiography services,
so we are pleased to have earned this distinction. It demonstrates that we
are providing a high quality service to our patients, said CMHVI Executive
Director Susan Horton.
a cardiologist who specializes in electrophysiology,
has been appointed to the Central Maine Medical Center Medical Staff. She is
practicing with Central Maine Heart Associates, a clinical department of
CMMC.
is the first Midwifery Service in Maine and only the second in New England to be recognized by the American College of Nurse-Midwives with its Golden “With Women for a Lifetime” Commendation.