Pharmacist Kickbacks Put California Patient Health at Risk

by on May 17, 2013 · 1 comment

in California, Civil Rights, Economy, Health

PillsBy Hollaine Hopkins/California Progress Report

Health care cost containment is a critical issue facing every participant in the health care system. Efforts to contain costs, however, appear to have given rise to dangerous financial arrangements between health insurers and pharmacists that may be jeopardizing the health of California patients.

A loophole in California law allows your health insurer to give a financial kickback to your pharmacist every time the pharmacist switches your medication to older, cheaper, non-chemically equivalent drugs from those originally prescribed by your doctor, even without your knowledge.

Switching patients to non-chemically equivalent drugs is a potentially dangerous practice known as “therapeutic substitution.” Unlike switching patients to identical generic drugs – which simply function as a cheaper alternative – pharmacists who make therapeutic substitutions are subjecting patients to drugs with different ingredients and dosages, different release mechanisms, and different side effects and complications.

For the more than 1.5 million Americans living with lupus, a therapeutic switch can directly result in a decline in health. Although two medicines may treat the same condition, when the ingredients are not the same, there can be different side effects or treatment can be ineffective. There is currently no cure for lupus and many patients take up to 20 pills every day simply to mitigate the symptoms of the disease. Those patients need to know they are getting the medications their doctor prescribed.

California law currently prohibits physicians from receiving any financial incentive from insurers for prescribing any particular course of treatment. Because of a loophole in the law, however, pharmacists are allowed to take a kickback from an insurer every time they make a therapeutic switch to a cheaper drug.

Perhaps not surprisingly, physicians report a spike in the number of requests to authorize these switches, leaving physicians without any idea if the pharmacist is recommending the switch because it is in the best interest of the patient or if it is because the pharmacist is receiving financial compensation for the switch.

Pharmacists are a critical part of a collaborative health care environment based on ethics and trust. Pharmacists are rightly well-regarded figures in their communities, and when pharmacists provide counsel, patients listen.

Prescribing physicians also routinely take the advice of pharmacists on alternate therapies, without question, for any number of reasons. A pharmacist may know that a patient’s health plan does not cover the medication a doctor has prescribed, for example. Pharmacists may also have knowledge of patient history that can help patients avoid negative drug interactions.

California patients should be confident that treatment decisions are based solely on what is in their best interest and should not have to worry about whether their pharmacist is being unduly influenced by health insurer kickbacks.

California Assemblymember Toni Atkins from San Diego has now introduced Assembly Bill 670, common-sense legislation that will shine a light on the dangerous practice of therapeutic substitution and close the loophole in the law that allows pharmacists to take kickbacks for making a therapeutic switch.

The Lupus Foundation of Southern California applauds Assemblymember Atkins and urges all California legislators to stand with Assemblymember Atkins in protecting patients.

Hollaine Hopkins is the executive director of the Lupus Foundation of Southern Californiaand a long time advocate for lupus treatment and research. She is also associated withCombined Health Agencies and the Lupus Research Institute.

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Hiu Shin Tsui May 21, 2013 at 6:29 pm

Thyroid issues are another issue that pharmacies and endocrinologists should be scrutinized. If one prefers a natural thyroid treatment i.e., Naturally Dessicated Thyroid (Porcine/NDT) there are only two manufactures, Forest Laboratories and RLC Laboratories not including the number of porcine manufactures that are compounded. The point. Costco has one of the worse records for providing porcine to their patients. Forest Labs the makers of Armour Thyroid have reformulated its NDT product that most patients — have abandoned their NDT product. Most endocrinologist mysteriously push the synthetic thyroid treatments? So whose hand is in the pocket of whose? I think the California Attorney General and US Attorney General should investigate these pharmacies that skirt on the issue Mr. Atkins is advocating. Take a look at Forest labs wiki entry, I wouldn’t trust nor use any of their products. Maybe the states should take control of dispensing pharmaceuticals and put a stake in the heart of these greedy private pharmaceutical vendors. Greater control and better costs control then yielding to ever presently more greedy insurers.


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