This is a multi-part message in MIME format. --------------3EB368F517C Content-Type: text/plain; charset=us-ascii Content-Transfer-Encoding: 7bit Interesting article from Money magazine about how drug companies try to influence doctors. -- Bruce A. Hollenbeck [log in to unmask] --------------3EB368F517C Content-Type: message/rfc822 Content-Transfer-Encoding: 7bit Content-Disposition: inline Return-Path: <[log in to unmask]> Received: from listserv.pathfinder.com (listserv.pathfinder.com [204.71.242.6]) by ixmail4.ix.netcom.com (8.7.5/SMI-4.1/Netcom) id RAA00858; Tue, 13 May 1997 17:16:50 -0700 (PDT) Received: from listserv.pathfinder.com by listserv.pathfinder.com (8.7.3/SMI-SVR4Listserv) id UAA20845; Tue, 13 May 1997 20:15:11 -0400 (EDT) Received: from LISTSERV.PATHFINDER.COM by LISTSERV.PATHFINDER.COM (LISTSERV-TCP/IP release 1.8c) with spool id 8334 for [log in to unmask]; Tue, 13 May 1997 20:07:47 -0400 Received: from listserv.pathfinder.com by listserv.pathfinder.com (8.7.3/SMI-SVR4Listserv) id UAA19890; Tue, 13 May 1997 20:07:45 -0400 (EDT) Approved-By: [log in to unmask] Received: from pathfinder.com by listserv.pathfinder.com (8.7.3/SMI-SVR4Listserv) id UAA19831; Tue, 13 May 1997 20:06:31 -0400 (EDT) Received: from cp.pathfinder.com by pathfinder.com (8.7.3/SMI-SVR4) id UAA06445; Tue, 13 May 1997 20:07:13 -0400 (EDT) Received: by cp.pathfinder.com (SMI-8.6) id UAA27665; Tue, 13 May 1997 20:07:07 -0400 Message-ID: <[log in to unmask]> Date: Tue, 13 May 1997 20:06:47 EST Reply-To: [log in to unmask] Sender: [log in to unmask] From: MONEY Daily <[log in to unmask]> Subject: MONEY Daily: [headline] To: [log in to unmask] For an enhanced HTML version of the Money Daily, visit http://moneydaily.com. Wednesday, May 14, 1997 Drugmakers pressuring medical pros to prescribe their products Money investigation finds sound medicine may take back seat to bottom lines by Ira Hellman Major drug companies routinely pressure doctors, pharmacists and insurers to push, restrict or even switch prescriptions to benefit the companies' financial health, and in some instances, Money magazine reports in its June issue, the practice has even harmed patients. A three-month Money investigation reveals that drugmakers and bureaucratic middlemen called pharmacy benefit managers are increasingly using discounts, rebates and other pressures and inducements to wrest control of prescriptions from the medical professionals on whom patients have relied for generations. The business stakes are high, reports Money writer Peter Keating: Consumers and their insurers spent $78 billion in the U.S. last year to fill 2.5 million separate prescriptions. Yet, if anything, the human stakes are higher. Money relates chilling stories of patients forced to suffer, or to pay stiff out-of-pocket expenses, because drugs their doctors had prescribed were not on their insurers' "approved" lists. Moreover, it notes that switching prescriptions can increase patients' risk of getting medications that may not work best for them. Indeed, Dr. Philip Alper, a Burlingame, Calif. internist and one of the few doctors who would speak with the magazine on the record, calls the practice "massive, underfunded human experimentation." Among Money's findings: * When managed-care plans decide which drugs they will pay for, one of the first factors they consider is which drugmaker offers the best rebate program. Virtually all managed-care plans maintain lists of approved drugs called formularies, allowing patients to buy certain drugs cheaply at selected pharmacies. Trouble is, these once- extensive lists are being whittled down--in one case, to only 89 medications--by drugmakers who strike deals with pharmacy benefit managers (PBMs). Drug companies often offer rebates or discounts to get PBMs and managed-care plans to push particular products. In other cases, they have simply bought PBMs, which ironically were created to help lower prescription costs--and did so prior to the '90s. In fact, since 1993, drugmakers have acquired the nation's three largest PBMs, at a total cost of $12.9 billion. Money notes that most HMOs and PBMs insist that they make sure their lists include a broad range of medications. * Drug companies exert pressure on doctors and pharmacists to change your prescriptions. Pharmacists and doctors are regularly bombarded will letters, calls and faxes--many including offers of cash payments-- urging them to stop prescribing certain medications in favor of others. Some of the approaches are routine marketing ploys, Money reports. But others are over the top. "I get phone calls asking me to switch my patients' prescriptions about 10 or 12 times every day," says Dr. Giacomo Buscaino, a Brooklyn cardiologist. "I've been asked to switch specific patients to drugs that haven't been proved to have the effects they need. I've been asked to switch patients to drugs that were more expensive than the ones they were on already." * Drugs are being switched even when there is no evidence that the change is always safe for patients--or cheaper. Medical experts, including the American Medical Association, are overwhelmingly opposed to restrictive drug lists and to marketing programs that reward health professionals for substituting one prescription for another. Moreover, recent research indicates that reducing access to prescription drugs could actually increase overall long-term health-care costs. The reason: Patients who don't get the prescriptions they need end up using more drugs and going to doctors and hospitals more frequently. Money details ways prescription patients can get what they need. Among the tips: Ask your insurer for a copy of the procedures you would have to follow to request reimbursement for drugs that are not covered. Question any changes in your drugs. And support public policies that will promote health, not profits, as the primary objective of prescription benefit programs. The full text of the story is accessible on the magazine's World Wide Web site at http://money.com. Marketwatch for Tuesday, May 13, 1997 Dow Jones Industrial Average: down 18.54 (0.25%) to 7274.21 The Money 30 Index: down 7.54 (0.51%) to 1469.50 New York Stock Exchange Advances: 1126 Declines: 1369 Volume: 494 million shares NASDAQ Composite: down 10.60 (0.79%) to 133.59 S&P 500 Index: down 4.53 (0.54%) to 833.13 30-year Treasury bond yield: up 3 basis points to 6.92% London gold (afternoon fix): up $0.70 to $348.90 The Money Daily Business Report for Tuesday, May 13, 1997 DEC sues Intel by Tripp Reynolds A weakening bond market ignited a new bout with inflation worries on Wall Street today, sending the market broadly down as investors began to rethink their stance on the possibility of an interest rate hike. The Dow Jones Industrial Average slipped 18.54 to 7274.21. The S&P 500 fell 4.53 to 833.13. The tech-rich Nasdaq -- hit slightly harder as prices on computer companies retreated -- shed 10.60 to 1333.59. Bond prices fell, putting downward pressure on equities, after a news report quoted an unnamed Federal Reserve official saying the Fed was likely to raise rates next Tuesday. The yield on the Treasury's 30-year issue rose to 6.92%. The impact of the Fed rate hike speculation was lessened by April's retail sales data, which fell to a seasonally adjusted 0.3%, according to the Commerce Department. It's the biggest drop in the figure in 10 months. While analysts still think another rate raise is inevitable some time this year, the news, coupled with other recent economic reports showing the economy slowing, could stave off the hike until July. >From bug spray to legal fees for Intel Corp. Digital Equipment Corp. is suing Intel for supposedly stealing DEC's patented technology to make the Pentium, Pentium Pro and Pentium II microprocessor. Earlier in the week, Intel confirmed reports of a bug in its newly released Pentium II chip, but said no recall was needed. Intel dropped $6.75 to $152.38. DEC gained $2.25 to $35.38. Digital was one of the few computer makers to finish the day on the upside. Compaq Computer dropped $2.50 to $93.50. Dell slipped $2.88 to $91.88, and Gateway 2000 lost $3.25 to $60.50. Other big losers in the tech sector include Ascend Communications, falling $2.19 to $46.66; 3Com, dropping $1.13 to $36.88; and Micron Electronics, tumbling $5.38 to $18.63 after a canceled meeting with Smith Barney sparked rumors that the company was doing poorly. Is the third time the charm for General Motors? 8,200 workers at an electrical system assembly plant in Ohio went on strike today, making it the third walkout in about a month for the nation's largest automaker. The word among analysts is that the strike shows GM is serious about reducing its labor costs. GM closed 88 cents higher at $60.75. Two strong gainers on the Nasdaq: Inbrand surged $10.88 to $26.88 after Tyco International said it was acquiring the maker of incontinence products for $320 million. And Regeneron Pharmaceuticals got a big bump -- up $4.03 to $11.90 -- after it inked a 10-year development deal with Proctor and Gamble. P&G lost $1.25 to $132.50. Two announcements from Apple Computer that investors seem to think will offset themselves. The computer maker said in an SEC document filed today that it will take longer than expected to get the company back in the black. Separately, Apple said its new operating system, Rhapsody, will allow software developers to create software for the Mac and PC in one fell swoop. Once a program is written for a Macintosh, it will run on a PC without additional programming, says Apple's CEO Gil Amelio. Apple remained unchanged at $17.56. The Manhattan District Attorney filed a slew of charges against the former brokerage service of A.R. Baron & Co. and 13 of its employees for allegedly conspiring to bilk customers out of $75 million. Customers lost anywhere from $1,000 to $2 million, according to the D.A. And finally, yes it's true. The Dodgers are for sale and the buyer is expected to be Rupert Murdoch's News Corp. Rumors have been rampant over the past several days about the sale. Today, News Corp. confirmed that it was talking with the O'Malley family, which has owned 'Da Bums since 1950. A formal announcement is expected by the end of next week. ---------------------- MONEY DAILY DISCUSSION ---------------------- Check out discussions of topics in the Daily on MONEY Online's bulletin board: http://pathfinder.com/cgi-bin/boards/nph-read/3 In addition, comments may be sent to Doug Dundas <[log in to unmask]> or to Kevin McKean <[log in to unmask]>. ------------------------ SUBSCRIPTION INFORMATION ------------------------ TO SIGN UP FOR MONEY DAILY, point your browser to http://pathfinder.com/money/moneydaily/latest/subscribe.html, or send an e-mail to [log in to unmask] TO SIGN OFF FROM THE MAILING LIST, point your browser to http://pathfinder.com/money/moneydaily/latest/unsubscribe.html or send an e-mail to [log in to unmask] For detailed sign-up and sign-off information, send an e-mail to [log in to unmask] TO SUBSCRIBE TO MONEY MAGAZINE, just call our toll-free number, 800-633-9970. Thank you for signing up for the Money Daily! --------------3EB368F517C--