Local Pharmacist and Doctor Like Proposal for Pharmacy Database - KOAM TV 7

Local Pharmacist and Doctor Like Proposal for Pharmacy Database


Missouri lawmakers once again take up the issue of a pharmacy database.
 It could be accessed by doctors prescribing information for patients and would give pharmacists a red flag if there are multiple purchases or  dangerous interactions.  
The bill's sponsor says a goal is to avoid overdoses and a local  pharmacist  and doctor say it can help.


Helen Yust visited   the doctor for an ear ache. As a patient with rheumatoid arthritis she's on medications. She and her doctor believe a pharmacy database is a good idea to prevent overdosing or negative interactions. 

Helen Yust says,  "I think it would save some lives because sometimes medicines don't mix."

Dr. Michael Knapp, D. O. says patients can get prescriptions from several physicians. "If we can look into that database and see that the patients has two or three scripts that have those similar ingredients in them then we can be cautious about what we're prescribing for them," says Knapp. 

Pharmacists would enter the persons name, the prescription and date it is filled and the location.
 Pharmacists say its not a lot of extra work entering the data and something they already do to a degree for insurance companies through pharmacy benefit management with success. 

Freeman Quickmeds Pharmacist Greg Cobble says,  "These PBM's are using this software to flag,  Their database has drug interactions already  loaded in it so you go to fill a second medicine, it comes up and says you need to  be careful of this. You may have interactions."

All say the database would help curb an abuse problem called doctor shopping.

Cobble says, " When we say doctor shopping,  it means the patients going to multiple sites  to try to get medicines. And there's no way at this time to be aware of where they've been. If we had  a database we could look at we could tell if this was a duplicate therapy or not."

Medicines like oxycontin kept under lock and key have been sold on the streets for hundreds of dollars. Local police say legislation can make a difference in drug crimes.

Joplin Police Lieutenant Brian Lewis says, "For instance the Joplin restriction on ephedrine sales that  passed a couple years  ago. We've seen a reduction in meth labs recovered in Joplin so it does have an impact."  

Representative Keith Frederick a surgeon and once a sponsor of the bill in 2012 now is against it says he doesn't see results in studies and worries about security of the database information. 

But Cobble argues, "I  think there's some  fear but its overblown. The waters have been tested and it has proven to help us identify problems." 

And Yust says, "Well, I don't think we have  too much privacy left anyway.

The house passed it on a voice vote on Tuesday and need a second vote in the affirmative before the database proposal goes to the Missouri state senate. 
For a link to the bill click here


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