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Narcotics and other prescription drugs play a significant and legitimate role in medical practice. The illicit use of prescribed medicines, however, remains a major problem. This paper examines the effectiveness of two drug diversion control programs, multiple copy prescriptions programs (MCPP) and electronic data transfer (EDT) systems, and their impact on medical practice. Current evidence demonstrates that these programs decrease prescription drug use, with much of the decrease due to declines in inappropriate use. MCPPs appear more effective than EDT in preventing diversion. More research is needed. however, to assess their effects on medical practice, particularly patient quality of care.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=11592473&dopt=Abstract

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Med Interface. 1996 Nov;9(11):67-72.
Facing the next challenge of pharmaceutical care: patient noncompliance.

Bloom DL.

PharmaQuest Corp., Des Plaines, IL 60016, USA.

Medication misusage is a costly problem. Fixing the matter will not be easy because it means reshaping pharmaceutical care. Yet, the business reasons for undertaking such an action are compelling. Not only would MCOs and payers reduce expenditures, but drug companies, pharmacists, and pharmacy benefit managers could vitalize their positions in the marketplace. This article proposes how an integrated program might overcome noncompliance.

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=10162562&dopt=Abstract

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J Med Internet Res. 1999 Oct-Dec;1(2):E10.
Online prescribing of sildanefil (Viagra) on the world wide web.

Eysenbach G.

University of Heidelberg, Dept. of Clinical Social Medicine, Unit for Cybermedicine, Heidelberg, 69115, Germany. ey

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