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Regina 
Site Admin
Posts: 32460
Posted: Sun Aug 17, 2014 8:17 pm
US "for profit" medicne that is out of control.
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Posts: 54316
Posted: Mon Aug 18, 2014 6:41 am
$1: Compounding, which dates from the ancient days of medicine, involves a pharmacist making medicines for a patient who cannot be helped by mass-manufactured drugs. Ummm, that's what Pharmacists did before there were "mass-manufactured" drugs. That's why they are still called 'Chemists' in the UK, and the difference between a 'Chemist' and a 'Dispensary'. They made the remedies that people used before big pharma came about. Count on reporters to futz it up. 
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Posts: 65472
Posted: Mon Aug 18, 2014 9:31 am
Regina Regina: US "for profit" medicne that is out of control. I beg to differ. Compounding pharmacies are typically regulated by the medical boards of the various states. When these pharmacies go beyond the law, as many have done with major league sports doping scandals, people end up in jail. It's also the job of the insurance companies not to pay $1600 for a tube of diaper rash ointment that's inevitably going to be 95% petroleum jelly.
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Posts: 23093
Posted: Mon Aug 18, 2014 10:42 am
It's not really the pharmacist's fault, it's the fault of the doctors prescribing them, who are no doubt influenced by the drug companies who spend fortunes getting doctor to prescribe their drugs over the drugs their competitors produce.
That's the big problem with for-profit medicine - the goal is profit, not patient health.
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Posts: 23093
Posted: Mon Aug 18, 2014 10:45 am
BartSimpson BartSimpson: It's also the job of the insurance companies not to pay $1600 for a tube of diaper rash ointment that's inevitably going to be 95% petroleum jelly. Yeah, and that Tylenol you bought was 95% acetaminophen right? Take a gander at the label some time - the active ingredients in most drugs (prescription or OTC), be they pills, liquid or creams are often a small percentage of the total volume.
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Posts: 65472
Posted: Mon Aug 18, 2014 11:02 am
bootlegga bootlegga: It's not really the pharmacist's fault, it's the fault of the doctors prescribing them, who are no doubt influenced by the drug companies who spend fortunes getting doctor to prescribe their drugs over the drugs their competitors produce.
That's the big problem with for-profit medicine - the goal is profit, not patient health. Compounding pharmacies don't always require a doctor's prescription. Especially for unregulated compounds.
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Posts: 23093
Posted: Mon Aug 18, 2014 11:16 am
BartSimpson BartSimpson: bootlegga bootlegga: It's not really the pharmacist's fault, it's the fault of the doctors prescribing them, who are no doubt influenced by the drug companies who spend fortunes getting doctor to prescribe their drugs over the drugs their competitors produce.
That's the big problem with for-profit medicine - the goal is profit, not patient health. Compounding pharmacies don't always require a doctor's prescription. Especially for unregulated compounds. That's weird - up here, anything that is behind the counter requires a prescription from the doctor, period.
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Posts: 65472
Posted: Mon Aug 18, 2014 11:39 am
bootlegga bootlegga: That's weird - up here, anything that is behind the counter requires a prescription from the doctor, period. Not true. I get my NeoCitran from behind the counter at the drugstore or Costco in Vic. No hassle, they just hand it over.
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Posts: 23093
Posted: Mon Aug 18, 2014 1:12 pm
BartSimpson BartSimpson: bootlegga bootlegga: That's weird - up here, anything that is behind the counter requires a prescription from the doctor, period. Not true. I get my NeoCitran from behind the counter at the drugstore or Costco in Vic. No hassle, they just hand it over. That's what I get for generalizing...NeoCitran is considered OTC up here, but pharmacies often keep some stuff behind the counter because of the potential for abuse, theft or the possibility of using some drugs for making meth.
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Regina 
Site Admin
Posts: 32460
Posted: Mon Aug 18, 2014 1:55 pm
BartSimpson BartSimpson: Regina Regina: US "for profit" medicne that is out of control. I beg to differ. Compounding pharmacies are typically regulated by the medical boards of the various states. When these pharmacies go beyond the law, as many have done with major league sports doping scandals, people end up in jail. It's also the job of the insurance companies not to pay $1600 for a tube of diaper rash ointment that's inevitably going to be 95% petroleum jelly. I know exactly what compounding pharmacist do on both sides of the border.
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Posts: 65472
Posted: Mon Aug 18, 2014 2:11 pm
Regina Regina: I know exactly what compounding pharmacist do on both sides of the border. Yep, they make some pretty wicked THC brownies! 
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Regina 
Site Admin
Posts: 32460
Posted: Mon Aug 18, 2014 2:13 pm
BartSimpson BartSimpson: bootlegga bootlegga: It's not really the pharmacist's fault, it's the fault of the doctors prescribing them, who are no doubt influenced by the drug companies who spend fortunes getting doctor to prescribe their drugs over the drugs their competitors produce.
That's the big problem with for-profit medicine - the goal is profit, not patient health. Compounding pharmacies don't always require a doctor's prescription. Especially for unregulated compounds. If they are adding a drug that is prescribed then yes they do. That is the key ingredient of the compound and will need a doctor to order it so it can be dispensed. Other than that it's an OTC and would not be covered by insurance.......unless they are falsifying documents. I have an anti-inflammatory compound I've used which is 35% Ketoprophen. Since you can't get Ketoprophen OTC it needs a doctor to prescribe it. In this case it isn't big Pharma pushing this, it's a pharmacy that is marketing a product "line" that has high margins. So much so that they can afford to have a rep detail it to doctors. The doctor may not even know how much it costs, but only that insurance covers it.
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Regina 
Site Admin
Posts: 32460
Posted: Mon Aug 18, 2014 2:16 pm
BartSimpson BartSimpson: Regina Regina: I know exactly what compounding pharmacist do on both sides of the border. Yep, they make some pretty wicked THC brownies!  They can also make dog treats containing meds that Fido will eat right up instead of spitting them back on the floor. Same for kids medicine.
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Posts: 65472
Posted: Mon Aug 18, 2014 5:05 pm
True. 
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