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Updated: Jul 14, 2026

Drug Repurposing Hypothesis Generation Using the "RE:fine Drugs" System

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Published on: December 11, 2016

Physician dispensing: an old idea is new again.

J Scott Nystrom¹, Roxanne L Clark

¹Great Lakes Cancer Management Specialists, Grosse Pointe Woods, MI, USA. ascensys.technology@comcast.net

|May 24, 2007

Summary

Oncology practices can use physician dispensing to counter declining reimbursement. This strategy offers significant cost savings for payers and patients through lower prescription prices and increased generic use.

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Published on: November 9, 2016

Area of Science:

Oncology
Health Economics
Pharmacy Practice

Background:

Declining reimbursement for infusional therapies presents financial challenges for oncology practices.
Physician dispensing emerged as a potential strategy to offset these financial losses.

Purpose of the Study:

To evaluate the feasibility and impact of physician dispensing in an oncology setting.
To assess the cost-saving potential for payers and consumers.

Main Methods:

An oncology practice implemented a physician dispensing program.
Analysis of dispensing-vendor landscape and product line development guidelines.
Comparison of prescription costs and generic substitution rates against national averages.

Main Results:

The physician dispensing landscape presented limitations and a lack of established guidelines.
Physician-dispensed prescriptions were 50% below the national average cost.
Generic substitution rates were 50% higher than the national average.

Conclusions:

Physician dispensing offers a competitive strategy for oncology practices facing reimbursement challenges.
The model demonstrates substantial potential for cost savings for both payers and consumers.