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If we want genuine reform , lower drug costs , integrated supply chain , holistic patient care , then we need models that: Lower the acquisition cost of the medication for dispensing pharmacies Reduce waste and mismatch of inventory Maintain the pharmacist-patient relationship and care integration Simplifynot complicatethe dispensing channel Align all stakeholders (manufacturer, pharmacy, payer/employer, patient) around value, not just volume Resist simply shifting cost from one bucket to another The DTC employersubsidy model may serve a niche needespecially when insurance wont cover certain drugsbut it is not a silver bullet for drug cost reform
By providing clear explanations of how different factors influence dosing, patients can become more engaged in their treatment plans
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