II. Research: Studies
- Evaluation of 446 physicians surveyed
- Higher Prescribing Cost risks
- Pharmaceutical Representative exposure
- Group practice setting
- References
- Higher Prescribing Cost risks
- Direct drug advertising to healthcare consumers
- Appears to increase sale of drugs
- May result in inappropriate prescribing practices
- In 2017, Lyrica marketing cost $216 Million <5% of its over $5 Billion revenue for the year
- Mintzes (2002) BMJ 324:278-9 [PubMed]
- Pharmaceutical samples raise overall Prescribing Costs
- Poorest patients are the least likely to receive free drug samples
- Typical drug sample recipient has health insurance and lives far above poverty line
- Cutrona (2008) Am J Public Health 98(2): 284-9 [PubMed]
- In 2004, >25% ($16 billion) of drug company advertising ($57 billion) was spent on samples
III. Background: Legislation
- Sunshine Act (U.S. regulation as of August 2013)
- Pharmaceutical Representative gifts over $10 are reported to a public list (with the provider's name)
- Prescription cost transparency (2019)
- New U.S. legislation in 2019 requires drug advertisements to include the wholesale cost of the drug
IV. Resources
- No Free Lunch