A Review Of Counseling Practices On Prescription Medicines In Community Pharmacies
The Medicare Generics Improvement & Modernization Act of 2008 established funding to allow Medicare beneficiaries to enroll in plans providing outpatient generic drugs coverage beginning in June 2007. The Medicare Part D program has changed the means by which beneficiaries purchase prescription drugs impacting the business operations of pharmacies.
To describe the experiences of rural independently owned pharmacies that are the sole retail pharmacy in their community 1 year after implementation of Medicare Part D in order to learn if the initial financial & administrative problems associated with the implementation of the program in 2006 resolved over time.
The sole community pharmacists interviewed continue to face challenges directly related to Medicare Part D. Dealing with Part D plans & working with patients during enrollment periods remains administratively burdensome. Reimbursement amounts complexity of dealing with multiple plans & timeliness of payments continue to be cited as problems which could threaten the viability of independently owned pharmacies who are the sole retail providers in their communities.
Internet & e-commerce have profoundly changed society the economy & the world of health care. The web offers opportunities to improve health but it may also represent a big health hazard since it basically unregulated market with very low consumer protection. In this paper we analyze marketing & pricing strategies of online pharmacies OPs . Although online pharmacy [http://www.pharmacynextdoor.com/] Web sites were found to have an overall good content quality the high readability level of text areas of incomplete information & limited use of desirable Web functionality suggest room for improvement. Our analysis shows that OPs use strategies that would be more suitable for a commodity market than for drugs. These strategies differentiate according to variety brand or generic quality quantity & target group. OPs are well aware that the vacuum in the legislation allows them to reach a target of consumers that pharmacies cannot normally reach such as those who would like to use the generics without consulting a physician or even worse against the physician s advice . In this case they usually charge a higher price reassure the users by minimizing on the side effects & induce them to bulk purchase through sensible price discounts.
Overall medication information was 80% adherent to the criteria evaluated. When broken down by drug CMI was most adherent for atorvastatin 83% followed by glyburide 80% atenolol 80% & nitroglycerin 75% . The average readability level was found to be 10th grade. No pharmacy without prescription Web site provided the ability for font enlargement a glossary of terms or access to detailed medication information; however all online pharmacy Web sites provided an Ask a pharmacist service. To evaluate the quality readability & provision of Web functionality of 4 popular medications atenolol [http://www.pharmacynextdoor.com/buy_tenormin_without_prescription.html] nitroglycerin atorvastatin & glyburide available on the websites of 3 of the largest retail pharmacies Walgreens CVS Pharmacy & Pharmacynextdoor.com.
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