Healthy Skepticism Library item: 9211

Warning: This library includes all items relevant to health product marketing that we are aware of regardless of quality. Often we do not agree with all or part of the contents.

Publication type: Journal Article

Gibaldi M.
Vertical integration: the drug industry and prescription benefits managers.
Pharmacotherapy 1995 May-Jun; 15:(3):265-71

Abstract:

An overview of how prescription benefits managers (PBMs) operate is presented and how they impact physician prescribing and the pharmaceutical industry are described.

Keywords:
Commerce/standards Conflict of Interest Drug Costs Drug Industry/economics Drug Industry/standards Drug Industry/trends* Drugs, Generic Economic Competition/trends Humans Managed Care Programs/economics* Managed Care Programs/standards Managed Care Programs/trends Negotiating Prescriptions, Drug/economics* Primary Health Care

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Cases of wilful misrepresentation are a rarity in medical advertising. For every advertisement in which nonexistent doctors are called on to testify or deliberately irrelevant references are bunched up in [fine print], you will find a hundred or more whose greatest offenses are unquestioning enthusiasm and the skill to communicate it.

The best defence the physician can muster against this kind of advertising is a healthy skepticism and a willingness, not always apparent in the past, to do his homework. He must cultivate a flair for spotting the logical loophole, the invalid clinical trial, the unreliable or meaningless testimonial, the unneeded improvement and the unlikely claim. Above all, he must develop greater resistance to the lure of the fashionable and the new.
- Pierre R. Garai (advertising executive) 1963