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
All possible responses are shown in order of the frequency by
which they were selected.
frequently used by your clinic's patients.
available to clinic at a much lower cost (340B or other)
than their DDP valuation Wholesale Acquisition Cost).
difficult to get from company-controlled patient assistance
without a generic equivalent.
Sample of additional, written comments on
And/or drugs [samples]
we could not get from reps
Drugs on the hospital
Drugs that allowed
for broader range of Tx/Dx
2. What were the effects of the DDP
on your clinic's [Participants
asked to check all that applied]
patients were more likely to get Rxs for newer, more expensive
patients had improved medication compliance.
...staff, budget, and overall operations?
allowed care for greater numbers of uninsured patients
had improved morale and job satisfaction because the DDP
made it easier to help some indigent patients.
DDP as alternative to some more time-consuming drug company
electronic communications (e-mail and an internet-based
ordering system) was a helpful learning experience for
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?
||It was generally
helpful for staff to prepare DDP order periods by reviewing
pas drug usage and projecting future drug needs.
attended Medpin's regional training workshops learned about
general pharmacy management topics such as 340B, licensed
dispensaries, generic drugs.
||List of "DDP
drugs" affected our larger formulary or P&T-related
of generics undermined other clinic efforts for overall
drug cost savings
||It was frustrating
to train staff to use the DDP, knowing it would last only
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
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)
||0-30% of our
our total prescriptions
our total prescriptions
||90+% of our
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)
5. Now that the DDP is ending, what is your clinic doing to
help uninsured patients fill prescriptions? (check any and
all that apply)
another project similar to the DDP.
redirecting staff to expand clinic's effort in applying
efforts to buy drugs at lower prices (e.g., 340B, buying
to increase use of drug samples to help uninsured patients.
efforts to expand health insurance coverage for uninsured
efforts to encourage drug companies to better help uninsured
directly with some drug companies to create more efficient
PAP application procedures such as use of electronic information
or bulk/replenishment programs.
special software, consultant, or other resources to assist
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!
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.
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.