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She is an imbecile. Clearly passing judgement on something she knows nothing about. This so-called governor is creating an ethical dilemma for physicians and other licensed prescribers. Hopefully physicians will exercise their professional judgement and act on behalf of their patients’ best interest, regardless of threatened consequences to their licenses. Akin to “preferably being judged by 12 rather than (their patients) being carried by 6.” Although the use of hydroxychloroquine for COVID-19 therapy is not conclusively established as effective, the medication is proven safe in the dosages proposed and being currently used. FDA compassionate use exemptions are specifically designed for situations such as this, in cases of imminently life threatening illnesses without other options and with potential therapeutic efficacy.
Is life so dear, or peace so sweet, as to be purchased at the price of chains and slavery? Forbid it Almighty God! I know not what course others may take, but as for me, give me liberty of give me death! P. Henry
Deus vult!
Rhodesians all now
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If Plaquenl proves effective, that would be prima facia that ACE2 inhibitors work, why use a more toxic drug.
Most people don't have what it takes to get old
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She is a disgraced democrat
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If you had to work in a hospital what would you ask for? A new mask, not!
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I see Nevada did the same thing, what rational justifies not considering the use of this drug? It's cheap, Pharmacys won't make as much money
futuaris nisi irrisus ridebis
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First, I'm clearly not a fan of hers. Playing political football with the people's lives in this state is reprehensible. She takes every opportunity to bask Federal response. It's abhorrent that she consider the residents of Michigan and does not work with the POTUS, instead always swimming against the current. Now I just found out that she may cancel the rest of the school year without seeing how this suspension ending 12 April plays out. JFC.
However, the letter is to warn prescribers that are hoarding the Hydroxycholorquine and Z-pack for their families. They are literally writing scripts for hundreds for tablets for themselves. 2 cases have been documented on this side of the state and my sister who's an Rph has seen it where she dispenses. Any scripts with a more than 14 day supply is suspect. Lupus and RA patients who depend on the drug are finding it in short supply. The need for these meds for COVID-19 is ony going to increase.
A prescriber, here in Michigan can write for any drug the FDA has approved. It can be off-label and often is. Should something happen because of prescribed "off-label" pharmaceutical therapy, then the prescriber opens themselves up to litigation, but that's a civil matter and it's why malpractice insurance is so damn high. The letter does not say that they cannot write for COVID-19, just that there is no indication for it. With no indication, that means there is no approved dosing schedule. How many tablets and how often? Is it weight based, age based, etc. Is there any reason it would make COVID-19 patients worse?
Prescriber has a broad definition here in Michigan. Obviously, it applies to any medical doctor with an MD or DO, as well as NPs and PAs. However, it also applies to dentists, veterinarians, psychiatrists, nurse mid-wives, optometrists, podiatrists, and other licensed health people writing under an MD's or DO's DEA number.
Bottom line is that prescribers cannot rx this drug without a legitimate medical reason like lupus, RA, or COVID-19. A 90 day supply of Plaquenil could easily be 180 tabs, and and two packs back to back of azithromycin are occasionally prescribed. Most pharmacists will not ask a DO, MD, NP, or PA if it is being used for a patient with RD or lupus with an upper respiratory infection, even if the patient is the doctor or their family members. It should not be prescribed by vets, dentists, etc. Chain store pharmacists either have been or will be told to fill "any legal script" by their main office. As their livelihood is being held hostage, most will do as they are told and broadly interpret what is legal. These doctors, PA's, and NP's are front line troops are should be allowed to protect themselves and their family. However, they need to grow a pair and tell their neighbors and extended family to back off.
Last edited by MichiganScott; 03/27/20.
molɔ̀ːn labé skýla
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She certainly is, to ban any medicine as a potential treatment is just plain irresponsible. She's only doing it to tow the party line. I'm not even sure a Governor can do such a thing. I'm with you. Doesn't this smack of practicing medicine without a license?
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Idaho and Utah Boards of Pharmacy have just now passed the same protocols for dispensing, Other states will follow.
Most people don't have what it takes to get old
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"I never thought I'd live to see the day that a U.S. president would raise an army to invade his own country."
Robert E. Lee
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I see Nevada did the same thing, what rational justifies not considering the use of this drug? It's cheap, Pharmacys won't make as much money Way of topic, but this needs to be answered to clear up some misconceptions. its just exactly opposite, they will make more money. Any "high cost drug" such as insulin and biologicals, and drugs under patent that have a lot of cash out of pocket are not bought by the consumer. As a percentage basis they are "bought" by the insurance company with a very small, percentage paid as a copay by the consumer. The copay is the pharmacy"s net. This net is rarely above 3% profit margin. The same is true for narcotics. From a business point of view both are a pain to carry for small independents due to the high inventory costs, additional recording and reporting costs. One of the reasons for the disappearance of small drug stores. For chains they are a draw knowing the customer will probably buy a higher margin something else,, cosmetics etc. say a "packet" of Plaq. (kind of a cash register ringing sound) costs the pharmacy $3 and they sell it for $3. Nice margin, high turn over, no inventory costs, keep fixed labor working.
Most people don't have what it takes to get old
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I see Nevada did the same thing, what rational justifies not considering the use of this drug? The rational, at least in Nevada, whether well advised or not, is that they want the drugs available for the hospitals to use on acute cases. They are afraid everyone will rush to their GP and ask for prophylactic prescriptions and exhaust the supply. So, instead of "lowering the curve" by using the drugs for early cases, they will wait till you are on deaths door to maybe give you some. Boils down to Dumbocrat politicians practicing medicine, and they should be jailed, or worse. Our Gov was being advised by a rube with a doctorate of affirmative action.
Let's Go Brandon! FJB
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I see Nevada did the same thing, what rational justifies not considering the use of this drug? The rational, at least in Nevada, whether well advised or not, is that they want the drugs available for the hospitals to use on acute cases. They are afraid everyone will rush to their GP and ask for prophylactic prescriptions and exhaust the supply. So, instead of "lowering the curve" by using the drugs for early cases, they will wait till you are on deaths door to maybe give you some. Boils down to Dumbocrat politicians practicing medicine, and they should be jailed, or worse. Our Gov was being advised by a rube with a doctorate of affirmative action. Idaho's governor just signed the same type of bill, at the same sitting he signed Constitutional Carry for Idaho.
Most people don't have what it takes to get old
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I see Nevada did the same thing, what rational justifies not considering the use of this drug? The rational, at least in Nevada, whether well advised or not, is that they want the drugs available for the hospitals to use on acute cases. They are afraid everyone will rush to their GP and ask for prophylactic prescriptions and exhaust the supply. So, instead of "lowering the curve" by using the drugs for early cases, they will wait till you are on deaths door to maybe give you some. Boils down to Dumbocrat politicians practicing medicine, and they should be jailed, or worse. Our Gov was being advised by a rube with a doctorate of affirmative action. Thrombic Microangiopahthies severe enough to prohibit prophylactic use.
Most people don't have what it takes to get old
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Pick your poisen; nobody gets out alive.
Let's Go Brandon! FJB
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First, I'm clearly not a fan of hers. Playing political football with the people's lives in this state is reprehensible. She takes every opportunity to bask Federal response. It's abhorrent that she consider the residents of Michigan and does not work with the POTUS, instead always swimming against the current. Now I just found out that she may cancel the rest of the school year without seeing how this suspension ending 12 April plays out. JFC.
However, the letter is to warn prescribers that are hoarding the Hydroxycholorquine and Z-pack for their families. They are literally writing scripts for hundreds for tablets for themselves. 2 cases have been documented on this side of the state and my sister who's an Rph has seen it where she dispenses. Any scripts with a more than 14 day supply is suspect. Lupus and RA patients who depend on the drug are finding it in short supply. The need for these meds for COVID-19 is ony going to increase.
A prescriber, here in Michigan can write for any drug the FDA has approved. It can be off-label and often is. Should something happen because of prescribed "off-label" pharmaceutical therapy, then the prescriber opens themselves up to litigation, but that's a civil matter and it's why malpractice insurance is so damn high. The letter does not say that they cannot write for COVID-19, just that there is no indication for it. With no indication, that means there is no approved dosing schedule. How many tablets and how often? Is it weight based, age based, etc. Is there any reason it would make COVID-19 patients worse?
Prescriber has a broad definition here in Michigan. Obviously, it applies to any medical doctor with an MD or DO, as well as NPs and PAs. However, it also applies to dentists, veterinarians, psychiatrists, nurse mid-wives, optometrists, podiatrists, and other licensed health people writing under an MD's or DO's DEA number.
Bottom line is that prescribers cannot rx this drug without a legitimate medical reason like lupus, RA, or COVID-19. A 90 day supply of Plaquenil could easily be 180 tabs, and and two packs back to back of azithromycin are occasionally prescribed. Most pharmacists will not ask a DO, MD, NP, or PA if it is being used for a patient with RD or lupus with an upper respiratory infection, even if the patient is the doctor or their family members. It should not be prescribed by vets, dentists, etc. Chain store pharmacists either have been or will be told to fill "any legal script" by their main office. As their livelihood is being held hostage, most will do as they are told and broadly interpret what is legal. These doctors, PA's, and NP's are front line troops are should be allowed to protect themselves and their family. However, they need to grow a pair and tell their neighbors and extended family to back off. Not really ,, there is no "diagnosis of patient condition" on the RX. Pharmacist doesn't care what the doc is using it for. If management says anything upon the refusal of the Pharm, to fill , Pharm just says "you know I have to write a letter to the state board know and let them figure it out" No way a chain wants that. Put that together with the "whistleblower act" and the chains go out of the way to stay clean.
Most people don't have what it takes to get old
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While I disagree with the order, however, the intent is to prevent hoarding. I'm sure a hospitalized patient with a confirmed C19 diagnosis would be able to receive the drugs (if not, then she really is a commie). Having undiagnosed toilet paper "shoppers" getting "their" supply of these drugs prevents those that need the drugs from getting them.
Case in point: Tamiflu hoarders during the H1N1 scare of a few years ago. Members on this forum were posting pictures of their hoard. And probably still have them.
Moe
"Pick out two!"
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..............what rational justifies not considering the use of this drug? Because it's what Trump wants.
"I never thought I'd live to see the day that a U.S. president would raise an army to invade his own country."
Robert E. Lee
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Pick your poisen; nobody gets out alive. Yes.. so true, *the procedure was a grand success, but the patient died"
Most people don't have what it takes to get old
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While I disagree with the order, however, the intent is to prevent hoarding. I'm sure a hospitalized patient with a confirmed C19 diagnosis would be able to receive the drugs (if not, then she really is a commie). Having undiagnosed toilet paper "shoppers" getting "their" supply of these drugs prevents those that need the drugs from getting them.
Case in point: Tamiflu hoarders during the H1N1 scare of a few years ago. Members on this forum were posting pictures of their hoard. And probably still have them. Hoarding has been going for many years with drugs. a side effect (pun intended) of hoarding has caused the beginning and growth of the out of country drug market, including counterfeit and mislabeling market and increase of the "good" drug costs across the board.
Most people don't have what it takes to get old
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If you put Taco Bell sauce in your ramen noodles it tastes just like poverty
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