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<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Sorry, I don’t have a web address for this article - Laurie<o:p></o:p></span></p>
<p class=MsoNormal><b><span style='font-size:20.0pt'><o:p> </o:p></span></b></p>
<p class=MsoNormal><b><span style='font-size:20.0pt'>States 'recycle' meds to
battle costs <o:p></o:p></span></b></p>
<p class=MsoNormal><span style='font-size:12.0pt'><o:p> </o:p></span></p>
<p class=MsoNormal>Apr 6, 4:12 PM EDT<o:p></o:p></p>
<p class=MsoNormal>By CANDICE CHOI <o:p></o:p></p>
<p class=MsoNormal>AP Business Writer<o:p></o:p></p>
<p class=MsoNormal> <o:p></o:p></p>
<p class=MsoNormal>NEW YORK (AP) -- The struggle to keep soaring medical costs
in check is feeding an increase in state programs that collect unused
prescription drugs to give away to the uninsured and poor.<o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal>Some states allow donations of sealed drugs from
individuals, while others only accept pharmaceuticals from institutions, such
as doctor's offices or assisted-living homes. Drugs are typically vetted by
pharmacists to cross-check safety, then distributed by hospitals, pharmacies or
charitable clinics.<o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal>The type of drugs donated run the gamut and include
antibiotics, antipsychotics, blood thinners and antidepressants.<o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal>At least 33 states have laws to allow or study drug
recycling programs, according to the National Conference of State Legislatures.
Most state programs are just a few years old or still in the test stages, but
officials envision huge gains.<o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal>In Iowa, David Fries, CEO of the Iowa Prescription Drug
Corp., said the program has the potential to double or triple in the near
future. Officials in Tulsa, Okla., also see plenty of room for growth.<o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal>"There are millions of dollars of unused meds out there
that have not been captured," said Linda Johnston, director of social
services for Tulsa County.<o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal>Regulations to ensure safety vary from state to state, but
the basic concept is the same.<o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal>"These are medications that would've otherwise been
destroyed," said Roxanne Homar, Wyoming's state pharmacist.<o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal>A pilot program in Cheyenne, Wyo., last year netted $81,000 in
donated drugs to fill 557 prescriptions. State officials say that's just a
small slice of the vast reserves of drugs that go to waste each year. The
program is now working to get $180,000 in drugs it has online so it can be
accessed by other programs in the state.<o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal>Drug recycling programs pay for themselves "by just
working with one patient and saving them and keeping them out of the hospital
over the long term," Iowa's Fries said.<o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal>Ensuring that a diabetic doesn't miss her medication, for
example, might stave off "eye problems, foot problems, all kinds of
medical conditions," he said.<o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal>It's still too early to measure the impact of drug recycling
in offsetting the costs of emergency room and other hospital care for the
uninsured. But when medical conditions go untreated, the financial toll is
clear.<o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal>A study by the Commonwealth Fund in 2006 found 59 percent of
uninsured people with chronic conditions either skipped a dose of their
medicine or went without it because it was too expensive. One-third of that group
visited an emergency room or stayed in a hospital overnight or did both,
compared with 15 percent of their insured counterparts.<o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal>The costs to treat uninsured patients in Wyoming alone are
staggering. Every year, hospitals there provide about $120 million in
uncompensated care, according to Susie Scott, executive director for the
Wyoming Health Care Commission.<o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal>There are between 80,000 and 90,000 uninsured in Wyoming,
and their options for medical care are "generally limited to emergency
room situations," Scott said.<o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal>In Iowa, hospitals in 2005 provided $465 million in
uncompensated care, according to the state's hospital association.<o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal>Meanwhile, between March and December of last year, Iowa's
drug recycling program collected 319,000 dosage units worth an estimated
$292,000.<o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal>In the face of such enormous costs, saving a few dollars by
using recycled drugs may seem futile. But the savings that could be achieved
would add up over time.<o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal>In Louisiana last year, one charitable pharmacy in Baton
Rouge filled more than 38,000 prescriptions worth $2 million, the vast majority
of which were donated medications. Officials say they don't track how many
people the state's recycled drug program has helped statewide.<o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal>"In health care reform, it's got to be a cumulative
effect of a lot of different efforts. It seems like throwing a 10-foot rope
down a 40-foot hole, but we have to begin somewhere," Scott said.<o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal>Officials in Oklahoma's Tulsa County agree; they've worked
with charities since 2004 in a program to fill the prescriptions of county
residents.<o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal>"We do know that the cost of not providing medications
has a large ripple effect and impact on our community whether it's going to the
emergency room, whether it's going to a nursing home early, dying early, missing
school. If we don't get medicines to people who need them for their mental
illnesses, they become homeless, they end up in jail," Johnson said.<o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal>Still, some states are having trouble getting their drug
recycling programs off the ground.<o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal>In Florida, for example, a program created two years ago to
get cancer drugs to the uninsured has languished. Only three of the 300
hospitals eligible to participate have signed up, taking in a total of seven
drug donations. Critics say the program has lacked publicity.<o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal>And since drug recycling programs rely on donations, they're
not seen as long-term solutions. But when successful, officials say they can
help plug gaps in medication for those who live paycheck to paycheck.<o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal>---<o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal>AP Business Writer Jonathan Drew in New York and Associated
Press Writer Jessica Gresko in Tallahassee contributed to this Report.<o:p></o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal>© 2008 The Associated Press. All rights reserved. This
material may not be published, broadcast, rewritten or redistributed. Learn
more about our Privacy Policy.<o:p></o:p></p>
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<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal><o:p> </o:p></p>
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