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Citizen Brief: The Pharmaceutical Ecosystem

The pharmaceutical industry/ sector of the pain opioid ecosystem has had a significant role in the “seeding “ and growth of the epidemic. From research to approval to marketing to distribution to payment and physician education and prescription to patient diversion inappropriate use, much of the blame has been levied at Pharma. The current litigation of Purdue in Ohio seeks to hold the company accountable for its part in deceptive marketing of opioids. In the media, the company and its owners have been vilified. Recently, congress held a hearing that “shamed” executives of the company. Unfortunately, examining the pharmaceutical industries culpability, although convenient and just, has contributed to missing an opportunity to better understand the complexity of the epidemic and the role of the various stakeholders that have and continue to fuel the epidemic. This article uses a complexity lens to focus on the pharmaceutical sector within the pain opioid ecosystem. Additionally, we examine the interaction of the stakeholders at the various levels. Lessons and suggestions will be provided.

 

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The prescription medication perspective

Prescription Opioids: From research to approval to marketing to distribution to payment and physician education and prescription to patient diversion inappropriate use.

 

Will focus on the interaction of the stakeholders at the various levels. Will explore decision points. How to create a map 

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Incorporate distribution channels 

The Manufacturers

Purdue: Purdue Pharma used its vast reach to mass-market pain-killing medications, thereby facilitating the historic and ongoing opioid crisis

Teva Pharmaceuticals

Johnson & Johnson

Endo International

SpecGx, a subsidiary of Mallinckrodt

Actavis Pharma

Endo Pharmaceuticals

Pharmaceutical Research and Manufacturers of America, known as PhRMA.

Tracers in the Ecosystem 

Prescription Opioids and their use in medical practice

Incorporate distribution channels

The Distributors 

AmerisourceBergen

Walgreens

McKesson Corporation

Cardinal Health, Inc.

Miami-Luken

CVS

Walmart

Rochester Drug Cooperative

Pharmaceutical Care Management Association Checklist on Google 

Pharmacists 

Consultants

Mckinsey

Deloitte

Pharmacy Checklist 

This form will provide a check list for pharmacies and pharmacists to evaluate their competencies regarding Opioid Use, Abuse and Overdose Prevention and its management. 

 

Medication Safety for Consumer (Website IAMP)

 

CMS Prescription map

Continuing Medical Education for Pharmacist 

Common Elements in Guidelines for Prescribing Opioids for Chronic Pain

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