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They're generally administered in hospitals and outpatient clinics and sold through hospital purchasing organization contracts, not through retail pharmacies or pharmacy benefit managers.
Even more, according to the Healthcare Supply Chain Association (HSCA), "nearly every hospital in the U.S. (approximately 96 98%) chooses to use group purchasing organization contracts for their purchasing functions".1.1
Under its contract with a national group purchasing organization, UCSF is obligated to buy most of its edibles from distributor US Foods.
Amid this year's controversy, MedAssets began promoting itself as a purchasing organization unencumbered by the sort of problems that The Times reported.
XEROX CORP., Stamford, Conn., the copier maker, said it had won a $250 million contract to provide printers, scanning devices, software and services to Broadlane Inc., Santa Barbara, Calif., a group purchasing organization for hospitals and health care providers.
BECKMAN COULTER, Fullerton, Calif., a maker of medical laboratory supplies, said it had signed two new contracts and two renewal agreements to supply instruments, test kits, and blood and heart products to Premier Inc., a purchasing organization owned by more than 200 hospitals and health care systems.
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The Government Accountability Office is investigating the role of the group purchasing organizations in the shortages and the meningitis debacle.
At every step from manufacturer to patient, there are confidential deals among the major players, including drug companies, purchasing organizations and distributors, and insurers.
But the argument may have backfired, because now the senators are asking the group purchasing organizations to document all the noncontracting services they provide, who pays for them, and how.
Re "How a Cabal Keeps Generics Scarce," by Margaret Clapp, Michael A. Rie and Phillip L. Zweig (Op-Ed, Sept. 3): Health care group purchasing organizations, or G.P.O.'s, are taking a variety of innovative steps to mitigate the effect of generic drug shortages.
The statement defines a roadmap for scientists, governments, product manufacturers, purchasing organizations, and consumers to work together to limit the production and use of PFASs globally and to develop safer alternatives.
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