Non-physician Prescribers and Pharmaceutical Industry Interactions
Reducing the Impact of Pharmaceutical Marketing to Physicians and Promoting Appropriate Prescribing and Drug Safety
Nurse Practitioners and Physician Assistants are authorized to prescribe medications in all fifty states and the District of Columbia, with varying limits for physician counter-signing and controlled substances. Industry marketing to NPs and PAs has increased markedly in recent years to roughly 20 million detail visits in 2006, a 20% increase over 2004. The 86% of physician assistants who see pharmaceutical sales reps on a weekly basis have an average of 6.8 detailer interactions each week. Pharmacists have some prescribing authority in at least 25 states.
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