Medical devices--establishment of procedures to make a device a banned device: final rule.
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A systematic review of new prescriptions conducted 1 year after the enactment of Florida's drug product selection law showed that 36.3% were potentially subject to product interchange. Product interchange actually occurred in only 6.2% of these potentially eligible prescriptions. Positive formularies established by the pharmacies reduced the eligible population to 8.1% of all new prescriptions and the product selection rate relative to these formularies was 14.7%. Twenty drugs accounted for nearly three-fourths of all drug product selection activity.
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The "Drug Product Selection act of 1978" became effective in South Carolina on January 1, 1979. All written prescription forms must be printed with two signature lines. Under the line at the left, "DISPENSE AS WRITTEN" must be printed. Under the line at the right, "SUBSTITUTION PERMITTED" must be printed. In addition, the pharmacist must receive the patient's consent before substitution can occur. This study investigated the impact of the Act on physicians' prescribing habits and pharmacists' responses to drug product selection initially and 3 months after enactment. The data were analyzed according to the drugs prescribed, permitted substitutions, physicians' specialties, use of correct prescription blank, drug category, date, and drug actually dispensed. Physicians permitted substitution for 27.19 percent of all prescriptions written. There were 499 prescriptions out of 1,835 authorizing substitutions. A total of 127 of these drugs were for single-source items, as 162 were written for generic items. In the remaining 210 prescriptions for brand name items, pharmacists selected another brand only 24 percent of the time.
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Eight months after physician assistants in Wisconsin were given the authority to write prescriptions, a survey of pharmacists in that state indicated that PAs were utilizing the privilege. The survey further concluded that the technical quality of prescriptions written by PAs was appropriate, that pharmacists have confidence in prescription writing by PAs, and that other professionals in health care and the public need to be informed about PA prescribing authority.
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Speakers and attendees at the joint AHA-Canadian Hospital Association annual meeting, held July 27-31 in Montreal, indicated that they are prepared to confront the difficult issues that will surround the delivery of health care in the 1980s--increasing government regulation, health care cost inflation, decreasing supplies and increasing, costs of energy, an increasingly critical public, and manpower shortages and dislocations, to name a few.
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A report on the amendment of the German Animal Welfare Act as well as on other questions relevant to animal welfare legislation in the Federal Republic of Germany is given.
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