Patient Savings Center - beta. Patient Assistance Program Patient assistance programs PAPs are programs created by drug companies, such as , to offer free or low cost drugs to individuals who are unable to pay for their medication.
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Neither RxVantage nor RxAssist provide any warranty for any of the pricing data or other information. When the provider insisted that she wasn't going to treat any new chronic pain patients, the sales rep said, "What are you going to do when a current patient develops a pain condition?
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Let me show you what some of your peers are doing," according to the lawsuit. And, at least for some doctors, these tactics had an impact on their prescribing practices. The lawsuit cites an instance from when a provider who rarely wrote high-dose prescriptions for OxyContin said she was "freaked out" by a patient who had been referred to her and who was on a milligram dose of OxyContin every 12 hours.
The Purdue rep responded by saying there was no "ceiling dose and end organ damage with OxyContin," according to the rep's notes quoted in the lawsuit. In the five years prior to that interaction, according to the lawsuit, the provider had written only 17 prescriptions for more than 60 milligrams of OxyContin. But that visit kicked off a sharp increase in the provider's dosing.
The next year alone, in , the provider wrote another 17 high-dose prescriptions. In , the provider wrote high-dose prescriptions. What changed?
During the four-year stretch between and , Purdue reps visited the provider times, or more than twice a month, according to the lawsuit. By the time the doctor was arrested and sentenced in to eight years in federal prison for illegal narcotics distribution, Purdue sales reps had visited his clinic dozens of times — and apparently never alerted authorities to any suspicions about the doctor's prescribing patterns. This may be the lawsuit's most explosive claim. Even in cases where doctors were breaking the law or violating medical ethics, such as with Clemmer or "Candy Man," the lawsuit alleges that Purdue didn't step in to stop them.
Raoul rejects reported settlement with OxyContin maker
In the case of "Candy Man," the lawsuit refers to the doctor only by the initials D. But the details included in the complaint make clear the doctor was Douglas Hammond, who is now serving a sentence at a federal prison in southern Colorado.
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Hammond, according to his plea agreement in the federal criminal case, admitted to "routinely" writing prescriptions to patients for more than oxycodone tablets a month. Many of those pills were later diverted into illegal sales, according to state and federal court documents.
When Eddie Brantner first visited Hammond's clinic in December , according to the lawsuit and plea agreement, he received 60 milligram OxyContin tablets and milligram oxycodone tablets without even having to produce medical records — just a story about a hiking accident some years prior.
At Brantner's next visit, a month later, Hammond upped the dose. Two weeks later, Hammond prescribed even more opioids. By April , Hammond had Brantner on milligram OxyContin tablets and milligram oxycodone tablets. And the next month, Hammond and his physician assistant upped the dose again, to milligram oxycodone tablets for just one month, according to the plea agreement. Brantner was only taking some of the pills and was giving the rest to an illegal pill-distribution ring, the plea agreement states. But his prescriptions didn't occur in a vacuum, either.
The selling of OxyContin | National Post
According to the attorney general's lawsuit, Purdue reps had visited Hammond 69 times in the two years prior to Brantner's first prescription. At Purdue's last visit to Hammond, a sales rep talked to the doctor about potent opioid patches for high-dose patients, and the rep assured Hammond that "there is no ceiling dose as long as the patient can tolerate the side effects," according to the lawsuit.
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