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The head of pharmacy at the ministry of health and social welfare, Masoko Nt'sekhe, described the situation as "very unfortunate", particularly in the context of a country where about 60% of the population live below the poverty line.
"As I talk to colleagues around the country, this is really a problem we're all struggling with right now," said Mark Sullivan, the head of pharmacy operations at Vanderbilt University Hospital and Clinics in Nashville.
What payers in America want to know when they decide whether to cover a drug is how its performance for a given condition compares with that of other drugs, says William Fleming, head of pharmacy at Humana, a big American managed-care company.America's standards for regulatory approval require only that the drug in question be tested against a placebo to demonstrate safety and efficacy.
Head of Pharmacy, Joe Brogan, said the public's health would not be compromised.
Jean-Louis Prugnaud is a pharmacist, former head of pharmacy department at Saint-Antoine HosParis, France France.
Previously he was the Head of Pharmacy Practice at School of Pharmacy, Faculty of Medical and Health Sciences, University of Auckland, New Zealand.
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"The majority of the patent cliff is over right now," said Kevin Host, the head of specialty pharmacy at OptumRx, the pharmacy benefit manager for UnitedHealth Group.
The head of a pharmacy company blamed for a meningitis outbreak that has killed at least 30 people in the US has been subpoenaed to appear before lawmakers in Congress after refusing to give evidence voluntarily.
It is particularly acute for some professions, as a head of a pharmacy school lamented: "It's a loss for us.
"I think they see the pain coming," said Dr. Alan Lotvin, the head of the specialty pharmacy at CVS Caremark, the pharmacy benefit manager.
The pre-publication history for this paper can be accessed here: http://www.biomedcentral.com/1471-2407/9/76/prepub The author acknowledges the support of the heads of nursing, pharmacy, physiotherapy and medical laboratory departments of Lagos State University Teaching Hospital in facilitating conduct of the study.
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