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Tuesday, March 11, 2014

Isn't this Part of What Gives Compounding Pharmacies a Bad Name and Read About the Fax this Doctor Got from a Compounding Pharmacy--Who is Responsible? Who Should be Accountable? Who Can Rein this Type of Behavior In? Shouldn't the compounders who are following the law and doing it right be fighting mad at those compounders who aren't following the laws? What if the good compounders started turning the bad compounders in for violating the law?

Compounding pharmacies - big scam or good medicine? you decide.....
It has become a rare occasion for a drug rep to walk into my office. I admit to looking forward to the days where I received a cheap plastic .50 cent pen. Maybe, it is my pen fetish who knows. Since, the "gifting" of these trinkets has stopped I have also noticed a general decline in the number of non patient visitors to my office.
Some offices might prefer this. If the rep was "cool" or cute - I did not mind the small interruption as it changed up the "routine" of the day.
I can not recall the last time a drug rep came into my office - no, it's not the alzheimer's or senile dementia kicking in, I think the pharm industry has curbed their detailing of doctors. That, or no one likes me.
In any event, the one people who seem to gravitate to my office are drug compounding reps. These drug compounding companies are coming out of the woodwork in droves.
Wonder why? Well, I just found out after a patient brought in an EOB.
They get paid somewhere between 750 - 2500 dollars on average for the scripts they are pushing to Podiatry.
Can someone please tell me the last time they collected that amount on any surgical procedure they performed? Now, if you did - consider the amount of time you expended on that surgery. Please, don't forget about your 90 day global period....
How long do you think it took the pharmacist to whip up a batch of "anti-inflammatory potion number 3"? You do realize when they make a batch , they do just that.....then place them in little tubes and sell them for 750-2500 bucks.
I am having visions of mafia drug lords.....there was some movie with Denzel Washington where they were pushing "magic blue". Is it any different?
The repercussions on the health care industry for this "abusive practice" could be astounding. (even if the raw materials cost 700-2300 dollars.)
Who is paying for all this?
I admit - I have written for these products. However, completely unaware of the cost of the product. Are they worth it? Do they work? These may be some important questions. I have had some positive feedback, some negative, and some indifferent...... of course, this may be completely arbitrary as if I wrote for a compound, I could of tried topical voltaren first....
What amazes me is there does not seem to be any "restrictions" on this type of service. They seemingly are flying below the radar. I have not encountered any necessary pre-authorization requirements

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