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About half that consists of the value of free drug samples given to doctors.
As part of the survey, respondents were asked if they received free drug samples.
But of greater concern, the authors wrote, are the kinds of drug samples that physicians provide.
Collecting drug samples and financial records weekly, Mr. Novitzky identified more than a dozen famous clients.
That's why he stocked doctors' closets with free drug samples in person.
The insurer is working with Merck-Medco, a pharmacy benefit manager owned by Merck, to provide the generic drug samples.
The companies would not have to disclose the value of free drug samples or medical student scholarships.
Under federal law, it is a crime to bill the government, patients or others for free drug samples.
The Everett Clinic in Everett banned drug samples and barred drug representatives from visiting its 185 doctors in 1998.
But many doctors have complained bitterly as the clinics' cabinets of drug samples have been emptied out.
As part of that, he said, the commission's surveyors have been making sure that hospitals properly control drug samples.
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CEO of Professional Science Editing for Scientists @ prosciediting.com