DDP Operations Information
Provided $171 million of drugs at no cost to low-income Californians
as equitably and accurately as possible.
Aimed to maximize efficiency and cost effectiveness for the participating
pharmaceutical companies, participating clinics, and the administrator.
Drug Distribution Project (DDP) Participants
25 pharmaceutical companies
More than 200 nonprofit "safety net" outpatient clinics in California
Independent nonprofit organization providing DDP operations management and ongoing outreach to "safety net" clinics
DDP's Main Features
Distributed brand name drugs selected through negotiations with each
Emphasized electronics and efficiency, e.g., Internet-based order
system, EDI order transmission, broadcast e-mails for most DDP communications.
Focused on "safety net" clinics with large numbers of indigent
patients, e.g. community health centers, free clinics, county outpatient
Required participating clinics to have demonstrated pharmacy management
capacity as evidenced by an in-house pharmacy or licensed drug dispensary.
Assigned each participating clinic a "credit limit" based
on most recent, documented indigent care levels.
Combined 25 companies' differing rules, product allocations, and product
amounts into a system of access that is seamless from the clinic users'
Complemented drug distribution with general purchasing and dispensing
Each company made $X of its selected products available to indigent
patients through DDP.
DDP verified that applicant clinic meets eligibility criteria.
Clinics used a customized, internet-based “DDP Order System” to request
drugs up to the amount of their annual “DDP credit limit.”
DDP reviewed and sometimes adjusted requests, then electronically
transmited batches of orders to pharmaceutical companies during designated
"DDP order periods" that occured on designated dates approximately
four months apart.
Most pharmaceutical companies shipped directly to clinics, using updated
information from DDP administrator.
Project ended April 2003.
|Glaxo Wellcome; SmithKline Beecham
|Pfizer; Warner Lambert
|Bristol-Myers Squibb; Dupont
|13 Other Companies-Total
The DDP made available approximately 150 brand name drugs covering
twenty-three therapeutic classes of value to outpatient clinics. http://www.medpin.org/pdf/py3druglist2.pdf
Mental health drugs were the most requested and most quickly distributed
The clinics that received drugs through the DDP were (1) located in
California, (2) part of a nonprofit or government-owned entity providing
primary care or mental health care to indigent patients (3) owned
and operated a pharmacy or state-licensed dispensary, and (4) documented
to Medpin their compliance with eligibility criteria and operating
More than 200 eligible organizations received DDP drugs, then dispensed
them at no cost to their uninsured patients. Participants included
free clinics, community clinics, freestanding county clinics, and
outpatient clinics of county hospitals. They were located in rural,
suburban, and urban areas throughout California and served patients
of diverse cultural and linguistic backgrounds. Clinics also ranged
greatly in size; for example, Los Angeles County Medical Center received
more than 100 times total value of DDP drugs as Mt. Shasta Medical
Clinic or Casa de Salud.