'' no right to buy''

[mrmeds]

this is the message I got from wholesaler when trying to order Dexamethasone 4mg injection ( schering/msd).
It seems me being a pharmacist witha patient dying from bowel cancer isn't a good enough reason to want to purchase said medication.

[johnep]

Well who has the right to buy? Hospital?
johnep

[mrmeds]

apparently only hospitals according to customer service at Alliance. MSD's rules not theirs.
Can manufacturers reaaly be so thick as too not know how their own products are sold ?

We do a lot of palliative care prescriptions ( despite the local pct awarding the service to sainsburys and boots- after years of us providing an often free out of hours service- but thats a whole nother moan). But now its faxed rx etc direct to msd. ( But this is obiously my imagination as MR Lansley says there's no poblems and I've always belived eveything the tories tell me )

[bobbin]

this is the message I got from wholesaler when trying to order Dexamethasone 4mg injection ( schering/msd).
It seems me being a pharmacist witha patient dying from bowel cancer isn't a good enough reason to want to purchase said medication.

Yep, 'No Right To Buy' is a message used by Alliance H/C whenever you try a order a product which is not allowed on your account. A lot of pharmacies have 'DTP only' accounts with Alliance and so this message can apply to a lot of products.

Although MSD no longer supply Phoenix or AAH, I've ordered dexamethasone injection from Phoenix previously. It's a slow-moving line so it's quite possible that they still have stock. Could be worth considering if you have an account with Phoenix.

[mrmeds]

only have account with aah and dtp with alliance. AAH have started refering all orders to Alliance for dex, so i assumed msd were setting up a dtp deal with them only. Up untill recently it had come through aah so maybe they had residual stocks

[LeftArm]

AFAIK you can get
Dexamethasone inj (organon) 4mg/ml 1ml (10) from AAH PIP code (0991968)

[bobbin]

AFAIK you can get
Dexamethasone inj (organon) 4mg/ml 1ml (10) from AAH PIP code (0991968)

Organon were bought by Schering-Plough and then Schering-Plough were bought by Merck Sharpe and Dohme (MSD).

MSD have recently stopped selling to all wholesalers apart from Alliance HC. Phoenix and AAH may have residual stock of some of their products, however. In my opinion, this type of monopoly is bad news for pharmacy, but it does serve the interests of branded manufacturers by reducing the volume of parallel exports.

The discount available to pharmacies on MSD lines is now fixed at 7.5%, which is less than clawback.

[mrmeds]

Organon were bought by Schering-Plough and then Schering-Plough were bought by Merck Sharpe and Dohme (MSD).

MSD have recently stopped selling to all wholesalers apart from Alliance HC. Phoenix and AAH may have residual stock of some of their products, however. In my opinion, this type of monopoly is bad news for pharmacy, but it does serve the interests of branded manufacturers by reducing the volume of parallel exports.

The discount available to pharmacies on MSD lines is now fixed at 7.5%, which is less than clawback.

precisely..... but its not a probllem folks, ask mr lansley - he knows !!!

[Band6]

Just be careful with what you get in. Oregon (sp?) express the amount of dexamethasone as the base, whereas other companies are expressing it as the salt. That may be the other way around, but I think I'm correct. Caused us a massive problem at my hospital when it came to our standard pre-med in the chemo unit (8mg of dex BASE + 8mg of ondansetron)