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The F.B.I. expanded its investigation of the pharmacist Robert R. Courtney after finding that fertility drugs dispensed from his second pharmacy may have been diluted.
Because naloxone is a prescription medication, most insurance companies cover its cost and patients can obtain it from their local pharmacy (though the pharmacy may have to order it).
Women in general health settings such as community pharmacy may have different attitudes, needs and health-seeking behaviours, and the care they receive may not be as systematic or evidence-based.
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But instead, these pharmacies may have sold the vaccine to a small distributor, who then sold it to another, starting a string of sales.
The pharmacies may have standing physician orders, or orders from a state health department, and can screen customers to be sure they can safely be vaccinated.
Furthermore, purchasing medicines directly from pharmacies may have been cheaper, as patients did not have to pay physician consultation fees or medical investigation expenses [ 5].
In addition, the pharmacy database may have not captured all ward stock antibiotics dispensed and the pharmacy database captured the time the antibiotic was dispensed which may not have correlated with the time the antibiotic was administered.
Enrollees with substantial pharmacy expenditures may have exceeded their cap in certain years.
Given this finding, the use of pharmacy monitors may have declined in recent years.
In addition, the pharmacy staff may have selectively recorded certain AEs over others based on their own knowledge or bias around whether a causal link was plausible.
Pharmacy costs may have increased post intervention for patients who were previously non-adherent to medication regimens, or decreased for those who were previously (pre-intervention) receiving medications from multiple institutions or providers.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com