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DDP Survey Results

In March 2003, the final month of the DDP, a two-page survey was e-mailed to all Participant Clinics asking for information on the impact of the DDP on that clinic and their patients. Here are the results from the 65 completed surveys (37% response rate).

1. When you made an order request during a DDP order period, which factors below describe how you chose the drugs to request? [Participants asked to check all that applied]

All possible responses are shown in order of the frequency by which they were selected.

89% Drugs most frequently used by your clinic's patients.
42% Drugs not available to clinic at a much lower cost (340B or other) than their DDP valuation Wholesale Acquisition Cost).
32% Drugs most difficult to get from company-controlled patient assistance "'PAP" programs.
28% Highest priced drugs.
25% Drugs without a generic equivalent.





Sample of additional, written comments on this question:

    • And/or drugs [samples] we could not get from reps
    • Drugs on the hospital formulary
    • Drugs that allowed for broader range of Tx/Dx
    • Non-formulary drugs

2. What were the effects of the DDP on your clinic's [Participants asked to check all that applied]

65% Uninsured patients were more likely to get Rxs for newer, more expensive drugs.
54% Many uninsured patients had improved medication compliance.



...staff, budget, and overall operations?

71% Cost savings allowed care for greater numbers of uninsured patients
51% Clinic staff had improved morale and job satisfaction because the DDP made it easier to help some indigent patients.
51% Staff used DDP as alternative to some more time-consuming drug company PAPs
35% Using primarily electronic communications (e-mail and an internet-based ordering system) was a helpful learning experience for clinic staff.
35% Clinic took steps to get state permit ("clinic permit") for drug dispensary, due largely to DDP's requirement and to assistance from Medpin staff.








...larger pharmacy use and cost management activities?

38% It was generally helpful for staff to prepare DDP order periods by reviewing pas drug usage and projecting future drug needs.
37% Staff who attended Medpin's regional training workshops learned about general pharmacy management topics such as 340B, licensed dispensaries, generic drugs.
34% List of "DDP drugs" affected our larger formulary or P&T-related activities.
12% DDP's lack of generics undermined other clinic efforts for overall drug cost savings
5% It was frustrating to train staff to use the DDP, knowing it would last only 3 years.




Sample of additional, written comments on Question #2:
    • As these Meds are used up and/or expire, there will be a need to re-evaluate our formulary.
    • Clinic and doctors were able to see patients that we would not haven been able to handle due to the high cost of meds--specifically, patients with DM [diabetes mellitus] & HTN [hypertension].
    • DDP system immensely helped availability of product to our indigent patients plus offset our total budget.
    • DDP, combined with PAP, allow us greater freedom in providing free meds, therefore, most clients came into clinic and more clients were compliant.
    • It saved a tremendous amount of time that would have otherwise been spent ordering from P.A.P. programs...very time consuming and tedious.
    • It was frustrating to deal with the closure of the program and the fact that patients would have to be switched to less costly and possibly less effective medications.
    • Storage was an issue!
    • With this project, it helped many people temporarily cover costly medications for their chronic conditions which, as a result maybe diverted them from ending up in Emergency Rooms/hospitals.
    • The lack of generics has been a problem for those who became reliant on DDP drugs which are now no longer available. PAP's are so time consuming and staff is already stretched.
    • We are very sorry it is over. For most of this time we were not 340B and could not have afforded the medications we got from DDP.

3. During the time your clinic participated in the DDP, what portion of the total number of prescriptions filled at your clinic came from the DDP? (choose only one)

58% 0-30% of our total prescriptions
20% 30-60% of our total prescriptions
15% 60-90% of our total prescriptions
0% 90+% of our total prescriptions




4. Our records show that [your clinic] received [clinic's
assigned PY3 $credit limit] worth of "DDP credit" in the
final program year. Please compare this to the approximate
value of all drugs your clinic's patients received in a recent
year through drug company PAPs. When you compare these
two total amounts, which of the following best illustrates that
comparison? (choose only one)

52% DDP >> PAP
15% DDP > PAP
9% DDP < PAP
8% DDP << PAP
8% DDP = PAP




5. Now that the DDP is ending, what is your clinic doing to
help uninsured patients fill prescriptions? (check any and
all that apply)

71% Hoping for another project similar to the DDP.
58% Adding or redirecting staff to expand clinic's effort in applying to PAPs.
48% Expanding efforts to buy drugs at lower prices (e.g., 340B, buying groups).
35% Planning to increase use of drug samples to help uninsured patients.
28% Supporting efforts to expand health insurance coverage for uninsured patients.
26% Supporting efforts to encourage drug companies to better help uninsured patients.
18% Working directly with some drug companies to create more efficient PAP application procedures such as use of electronic information or bulk/replenishment programs.
11% Paying for special software, consultant, or other resources to assist PAP efforts.








Other Comments

6. Sample of additional, written comments on overall
program:* Thank you for helping us help the indigents.
    • Medpin was/is an excellent program. Not just for DDP, but for all the knowledge and expertisewhich was made available to us in pursuing the overall goal of decreased drugs cost & increasing access for indigent patients. Thank you!
    • DDP significantly impacted our clinical care.
    • DDP drugs overpriced and inconsistent availability. Credits thru companies direct to institution would have been better.
    • We have a high number of indigent patients. These drugs help many!!! patients who would not otherwise have medications.
    • Attending Medpin conference. Hoping to expand knowledge on subject. Would like to see centralized warehouse where manufacturers ship an annual allotment of meds for the indigent to be distributed thru a Medpin DDP system.

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