Table 1
Appropriate Use of Drugs:
Responsible Parties & Roles in an Ideal Scenario

Right Drug

For the Right Patient

Taken the Right Way

At the Right Price

Pharmaceutical manufacturer
  • Reports risk & benefit profiles
  • Names & packages Rx

 

FDA

  • Sets safety & efficacy standards
  • Sets marketing & information standards

 

Prescriber

  • Evaluates Patient
  • Selects Rx

 

Dispenser

  • Reviews selection

 

Patient

  • Discloses medical history & other treatments

Prescriber

  • Sets dosing regimen
  • Explains how to use
  • Monitors use
  • Evaluates outcomes

 

Dispenser

  • Distributes Rx
  • Explains how to use
  • Monitors use

Patient

  • Takes Rx as directed
  • Reports positive & negative outcomes

Pharmaceutical manufacturer

  • Sets price

Purchasers, insurers, & their agents

  • Designs benefit
  • Creates formulary
  • Negotiates price
  • Sets cost-sharing levels

Prescriber

  • Considers price when prescribing Rx?

 

Patient

  • Considers price when filling Rx

Source: Bruce Stuart, Ph.D., Peter Lamy Center, University of Maryland School of Pharmacy. Presentation to ASPE Conference on Pharmaceutical Pricing, Utilization, and Costs, Washington, DC, Aug. 8-9, 2000.

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