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Evaluation of Economic Effects of Drug Product Selection Legislation

Bibliographic Data

ID9099259
AuthorsTheodore Goldberg (Wayne State University, corresponding author), Carolee A Devito (University of Michigan), David Smith (0000-0002-8202-8108, Wayne State University, corresponding author), Miron Stano (0000-0002-0720-6605, Oakland University), Jerry S Vidis (Wayne State University, corresponding author), Willis E Moore (Wayne State University), W Michael Dickson (University of Wisconsin–Madison)
Year1979
Volume17
Issue4
Pages411-419
Publication date1979-04-01
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/00005650-197904000-00009
PMID431151
OpenAlexW2094751785
LanguageEN
Citations received5

Drug product selection legislation is intended to achieve savings in the cost of prescription drugs without adversely affecting the quality of care by allowing pharmacists the opportunity to dispense less costly generically equivalent drug products in place of the product which had been prescribed by the physician. Various conditions under which the pharmacists are authorized by state laws to exercise theoption to substitute are discussed. The study then identifies and examines the conditions under which savings may and do occur, using the legislation in Michigan as the model. Over 60,000 acutal prescriptions were examined for the three-year period, April 1, 1974 through March 31, 1977--which covers the period of the year immediately before the legislation became effective and the two subsequent years-to determine: 1) the extent to which substitution is possible; 2) potential savings from generic substitution; and 3) very substantial potential cost savings from drug product selection, the actual savings represent only an extremely small proportion of the potential. This principally is due to the fact of the low rate of substitution among eligible prescriptions. Thus, if the gap between actual and potential savings is to be reduced, more attention must be given to affecting the pattern of drug selection among pharmacists

Actuarial science · Business · Drug · Legislation · Medical prescription · Prescription drug · Product (mathematics) · Quality (philosophy) · Risk analysis (engineering) · Selection (genetic algorithm) · Computer Science · Law · Mathematics · Medicine · Pharmaceutical Economics and Policy · Pharmaceutical industry and healthcare · Pharmacology

  • Determinants of Physician and Pharmacist Support of Generic Drugs

    William O Bearden, J Barry Mason•Journal of Consumer Research•1980

  • Drug Product Selection in Illinois

    Jesse E Stewart, Paul G Grussing et al.•Medical Care•1982

  • The Effects of Differences in State Drug Product Selection Laws on Pharmacists?? Substitution Behavior

    Norman V Carroll, Jack E Fincham et al.•Medical Care•1987

  • Drug product selection

    G J Vuturo, J P Krischer et al.•American Journal of Public Health•1980

  • The demand for prescription drugs as a function of cost-sharing

    Open Access•Arleen Leibowitz, Willard G Manning et al.•Social Science & Medicine•1985

Citations per year0.11
Citation span1980 - 1987 (8)
Highly citedNo

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