April 2007

Editor's Notebook

AMP Is a Joke but Nobody's Laughing
Editor-in-Chief Harold E. Cohen, R.Ph., discusses the parallels between the controversy regarding average wholesale price (AWP) from four decades ago and the current debate surrounding average manufacturer price (AMP).
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Clinical Corner

Management of Complicated Skin and Soft Tissue Infections in Hospitalized Patients
The changing nature of complicated skin and soft tissue infections presents new challenges for patient care in which effective drug therapy is necessary.
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Therapeutic Options for Patients with Keloid Scars
To help reduce the risk of forming a keloid scar, patients should be counseled on the importance of avoiding skin trauma and immediately attending to wounds.
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ScriptPro

It's the Law

Oh, My Aching Back!
A federal district court must determine whether a pharmacist was disabled from performing the duties of her position.
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Counseling Pearls

Drug Interactions in Dermatology: Are They Just Skin Deep?
This article aims to assist pharmacists in identifying patients at risk for clinically significant dermatologic drug interactions. Read More >>

Update on Isotretinoin and the iPLEDGE System
Pharmacists can dispense isotretinoin only through iPLEDGE, a program aimed to reduce fetal exposure to the drug. Read More >>

Delsym

Tech Talk

Parata Acquires Self-Service Kiosk Technology
The North Carolina–based company will market technology that allows prescription pickup via self-service kiosks. Read More >>

OrthoBioTech

Educational Spotlight

The Role of the Pharmacist in Managing Patients with Tinea Pedis: Enhancing Treatment Adherence Improves Patient Outcomes
This article discusses the nonprescription treatment options for tinea pedis and their comparative abilities to produce a rapid cure with a minimal number of applications.
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Newswire

FDA Advisory Board Rejects Arthritis Drug Approval
Gaithersburg , MD - The FDA's Arthritis Dugs Advisory Committee voted overwhelmingly to reject approval of Merck's Cox-2 inhibitor Arcoxia (etoricoxib). By a vote of 20 to one the Committee affirmed that the cardiovascular risks of the drug outweigh its benefits for treating arthritis pain. Despite the fact that Arcoxia is already approved in 48 countries, the comments of several board members pointed to the fact that Merck failed to convince them there was need for the drug beyond what is currently available. Merck voluntarily withdrew rofecoxib (Vioxx) from the market in September 2004 because of studies that linked it to increased risks of cardiovascular events.

Rising Vaccine Costs Putting Children at Risk
Chicago - The American Academy of Pediatrics (AAP) is alarmed that the soaring costs of vaccines combined with lower insurance reimbursements will lead to under-immunization of the nation's children and unnecessary outbreaks of preventable diseases. "The system for delivering vaccines is broken, and we're going to be in real trouble if it's not fixed soon," said AAP President Jay E. Berkelhamer, MD, FAAP. Results from a national AAP survey indicated that more than half of the pediatricians surveyed think vaccine reimbursement from private and public health insurance is inadequate. This is significant because approximately 85% of children in the U.S. are vaccinated at pediatricians' offices. "We're in pediatrics because we care about children--but we shouldn't be expected to subsidize the public health system and perform our jobs at a loss. We've carried that burden long enough," commented Dr. Jon R. Almquist, MD, FAAP, chair of the AAP Task Force on Immunization.

CMS Exempts Diabetes Testing Products from Bidding Process
Alexandria , VA - The National Community Pharmacists Association (NCPA) is applauding the action taken by the Centers for Medicare & Medicaid Services (CMS) in its final rule that exempts diabetes testing products from competitive bidding requirements for Medicare beneficiaries. The NCPA said CMS' actions is a victory for patients and community pharmacists who had opposed new federal government regulations that proposed burdensome accreditation and competitive bidding requirements on diabetes testing supplies which in turn would have dramatically reduced patients' access to diabetes testing devices and other health care products.

FDA Reauthorizes Medical Device User Fee Program
Rockville, MD - The U.S. Food and Drug Administration (FDA)recommended that Congress reauthorize the Medical Device User Fee and Modernization Act (MDUFMA II), which, if adopted, would help ensure that safe and effective medical devices get to patients in a timely manner. Under the user fee program, industry covers a portion of the costs of FDA's premarket review program through a variety of fees. The fees are in addition to the agency's annual appropriations and represent less than a quarter of the overall device budget for MDUFMA II. "The proposal would give companies predictable fees and improved review times as well as provide FDA with a steady source of additional funding for its device review program," said FDA Commissioner Andrew. C. von Eschenbach, MD.

Alzheimer's Disease Rates on the Rise
Washington - According to the Alzheimer's Association, there are more than five million people in the U.S. living with Alzheimer's disease (AD) which represents a 10% increase form previous prevalence nationwide estimate of 4.5 million. The greatest risk factor in AD is increasing age. With 78 million baby boomers beginning to turn 60 last year, it is estimated that someone in America will develop AD every 72 seconds; by mid-century someone will develop AD every 33 seconds.


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