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It was reported in some sites that wealthy patients bought the vouchers potentially crowding out the ability of the intended beneficiaries to access the voucher.
Medicines should be provided for free in Tanzania, however they often went out of stock and some patients bought medicines from private pharmacies.
However, it is unlikely that patients bought glucosamine over the counter during the study period when it was possible to obain them for free under the GMS scheme.
In Choma all patients received their spectacles from the Sightsavers project, but in Livingstone five of the twelve patients bought their spectacles from an optical shop for between US$211 and US$1066 per pair.
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But patients buying those drugs take a risk that they will not work.
"Patients buying these private fee-for-service plans are not sure exactly what they have bought," Mr. Hagen said.
The internet has widened the problem: we see patients buying medication online here in the UK, too.
Late last year, the company announced a deal with Walgreens to offer discounts to patients buying many of its dermatology drugs.
Patients buy their own or plead with charities to provide them.
Michael Valentino, a manager of the V.A.'s drug benefit program, praised Congress for trying to help Medicare patients buy prescription drugs.
Turnbull said codeine should not be sold in dangerous amounts and 70% of pharmacies used a system of real-time recording to prevent patients buying too much.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com