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Sample medication dispensing in a residency practice.

D Morelli1, M R Koenigsberg

  • 1Department of Family Medicine, State University of New York, Buffalo.

The Journal of Family Practice
|January 1, 1992
PubMed
Summary
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Pharmaceutical drug samples are widely distributed, but their clinical use is understudied. A study found about a third of samples went to physicians or had unknown destinations, suggesting sampling influences prescribing habits.

Area of Science:

  • Medical Practice
  • Pharmaceutical Industry
  • Clinical Research

Background:

  • Pharmaceutical manufacturers distribute billions of medication samples annually.
  • Despite widespread distribution, clinical use of these samples is not well-documented.
  • Regulations exist, but critiques in medical literature highlight concerns.

Purpose of the Study:

  • To investigate the clinical use and dispensing patterns of sample medications.
  • To determine the value and destination of dispensed samples.
  • To explore the relationship between sample dispensing and physician prescribing.

Main Methods:

  • A 4-week descriptive study was conducted in a family practice setting.
  • Cataloged contents and calculated the average wholesale price (AWP) of sample medications.

Related Experiment Videos

  • Monitored the dispensing of medication samples and tracked their recipients.

    • Main Results:

    • The initial sample collection was valued at $19,273.
    • Over 1000 samples were dispensed during the study period.
    • Approximately one-third of dispensed samples went to physicians/families or had unknown destinations; 548 samples were given to patients.

    Conclusions:

    • While most samples reached patients, a significant portion was unaccounted for or went to physicians.
    • A strong correlation between sample dispensing and prescribing the same brand-name drug was observed.
    • Further research is needed to understand how free sample availability impacts physician prescribing practices.