Drugs we should NOT offer

[Anni]

Reading the following page (and the pages it links to) from the DEA web site got me thinking....


http://www.deadiversion.usdoj.gov/fed_regs/notices/2001/fr04 (http://www.deadiversion.usdoj.gov/fed_regs/notices/2001/fr0427.htm) 27.htm


Perhaps between us we should come up with3 lists of drugs, through discussion in this forum.


1 A Safe to promote List ie non controlled substances that are not open to abuse


2 A Border line list ie non controlled substances that are open to abuse


3 A Danger list ie Controlled substances


Here's my starter for 10, can anyone add to it please?


1 A Safe to promote List
<UL>
<LI>Viagra</LI>
<LI>Levitra</LI>
<LI>Propecia</LI>
<LI>Prilosec</LI>
<LI>Prevacid</LI>
<LI>Birth Control Pills?</LI>[/list]


2 A Border line list
<UL>
<LI>Ultram</LI>
<LI>Soma (Carisprodol)</LI>[/list]


3 A Danger list
<UL>
<LI>Phendimetrazine </LI>
<LI>Diethylpropion </LI>
<LI>Phentermine</LI>
<LI>Sibutramine Meridia</LI>[/list]


What about Xenical Sonata Ambien etc?


Can anyone add to this?


Anni

[chicago]

the xenical is harmless and no possible way of abusing it. I would say the ambien and sonata are a little risky since people tend to try to order too much too soon.

[Anni]

Thanks Chicago,


I agree, so we now have:


1 A Safe to promote List
<UL>
<LI>Viagra
<LI>Levitra
<LI>Propecia
<LI>Prilosec
<LI>Prevacid
<LI>Birth Control Pills?</LI>
<LI>Xenical</LI>[/list]


2 A Border line list
<UL>
<LI>Ultram
<LI>Soma (Carisprodol)</LI>
<LI>Ambien</LI>
<LI>Sonata</LI>[/list]


3 A Danger list
<UL>
<LI>Phendimetrazine
<LI>Diethylpropion
<LI>Phentermine
<LI>Sibutramine Meridia</LI>[/list]


What about Fioricet Butalbital Didrex etc and any others you guys want to add?





Anni

[redex]

pull the ambien and sonata - they spell trouble too. Add antidepressants and anxiety to the borderline list. Add all the herpes meds to the safe list. They are good sellers too BTW. Allergy meds are safe, as are many muscle relaxers, pain meds and arthritis meds. Think outside the phentermine box, there is a lot to offer.

[chicago]

Didrex is a step above Phentermine on the schedule list I thought?

[Anni]

Cheers Redex


I've updated the list to reflect your input.... anymore for any more?


1 A Safe to promote List
<UL>
<LI>Viagra
<LI>Levitra
<LI>Propecia
<LI>Prilosec
<LI>Prevacid
<LI>Birth Control Pills?
<LI>Xenical</LI>
<LI>all herpes meds</LI>
<LI>Allergy meds</LI>
<LI>All Muscle Relaxers</LI>
<LI>Pain Meds? .... which ones?</LI>
<LI>Arthritis Meds</LI>[/list]


2 A Border line list
<UL>
<LI>Ultram ... Listed by DEA as open to abuse
<LI>Soma (Carisprodol) ... Listed by DEA as open to abuse
<LI>antidepressants
<LI>anxiety </LI>[/list]


3 A Danger list
<UL>
<LI>Ambien
<LI>Sonata</LI>
<LI>Phendimetrazine
<LI>Diethylpropion
<LI>Phentermine
<LI>Sibutramine Meridia</LI>[/list]

[Anni]

So are you saying Didrex is OK Chicago?


I found it listed as a controlled substance schedule 3 under Benzphetamine at http://www.deadiversion.usdoj.gov/schedules/listby_sched/sch (http://www.deadiversion.usdoj.gov/schedules/listby_sched/sched3.htm) ed3.htm


and if you read


http://www.deadiversion.usdoj.gov/fed_regs/notices/2001/fr04 (http://www.deadiversion.usdoj.gov/fed_regs/notices/2001/fr04 27.htm) 27.htm


it looks like an controlled substance is a no no...

[Anni]

Sorry Chicago, misread your post, Didrex added to the list!


A Safe to promote List
<UL>
<LI>Viagra
<LI>Levitra
<LI>Propecia
<LI>Prilosec
<LI>Prevacid
<LI>Birth Control Pills?
<LI>Xenical
<LI>all herpes meds
<LI>Allergy meds
<LI>All Muscle Relaxers
<LI>Pain Meds? .... which ones?
<LI>Arthritis Meds</LI>[/list]


2 A Border line list
<UL>
<LI>Ultram ... Listed by DEA as open to abuse
<LI>Soma (Carisprodol) ... Listed by DEA as open to abuse
<LI>antidepressants
<LI>anxiety </LI>[/list]


3 A Danger list
<UL>
<LI>Ambien
<LI>Sonata
<LI>Phendimetrazine
<LI>Diethylpropion
<LI>Phentermine
<LI>Sibutramine Meridia</LI>
<LI>Didrex</LI>[/list]

[Shark Attack]

Here are the PainDrugs, which ones are safe:


Celebrex
Fioricet
Mobic
Tramadol
Ultram
Vioxx


Plus any thoughts on: Hair Removal, HeadAche Relief, High Cholesterol, HGH, Infections, Laxatives, Menopausal Relief,Skin Care,Stop Smoking,Travel Sickness, Yeast Infection

[Anni]

Shark Attack, I think we're gonna have to keep this specific to actual drug names, for example I just checked Butalbital and it is coming up as a controlled substance so therefore has to go in list no 3, whereas Ultram is not a controlled substance but is open to abuse and therefore is in List 2. Here's an updated list for people to add to or challenge etc...

A Safe to promote List

<UL>
<LI>
<DIV class=Msonormal style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 1.9pt; mso-char-indent-count: 1.0">Viagra</DIV></LI>
<LI>
<DIV class=Msonormal style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 1.9pt; mso-char-indent-count: 1.0">Levitra</DIV></LI>
<LI>
<DIV class=Msonormal style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 1.9pt; mso-char-indent-count: 1.0">Propecia</DIV></LI>
<LI>
<DIV class=Msonormal style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 1.9pt; mso-char-indent-count: 1.0">Prilosec</DIV></LI>
<LI>
<DIV class=Msonormal style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 1.9pt; mso-char-indent-count: 1.0">Prevacid</DIV></LI>
<LI>
<DIV class=Msonormal style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 1.9pt; mso-char-indent-count: 1.0">Birth Control Pills?</DIV></LI>
<LI>
<DIV class=Msonormal style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 1.9pt; mso-char-indent-count: 1.0">Xenical</DIV></LI>
<LI>
<DIV class=Msonormal style="MARGIN: 0cm 0cm 0pt">Diflucan</DIV></LI>
<LI>
<DIV class=Msonormal style="MARGIN: 0cm 0cm 0pt">Enpresse (Triphasil)</DIV></LI>
<LI>
<DIV class=Msonormal style="MARGIN: 0cm 0cm 0pt">Ortho Evra Patch</DIV></LI>
<LI>

[Anni]

Just a thought here, why have none of the big OP's decided to stop Phentermine (and others) sales yet?


Are they prepared to take a risk, do they believe all is OK? or are they hoping to let the Pharmacies and Doctors bear the brunt and slip away unnoticed?





Anni

[mightyfist]

I think I would move Meridia up to the borderline list.
I think it is a closer relative to the antidepressants
chemically than the stimulant diet drugs.

Flextra looks like an antihistamine and tylenol. Fairly
safe, I'd guess.

Celebrex and Vioxx look safe, unless someone who
has has a stomach bleed reaction from NSAIDS
tries to order. I don't think they have a high potential
for abuse. I think that Mobic is just another NSAID.
Same for Bextra.

Ultracet is just Ultram and tylenol, so it goes with
ultram on the list.

Zebutal and Esgic plus should go with the Fioricet.
Pretty much the same ingredients.

Diane

[Shark Attack]

I guess it comes down to $$$$ , I'm ready to adapt to any change required if it means I can continue to work from home - but losing Phentermine would be a kick up the arse..

[Anni]

mightyfist


Thanks that's really useful, I've updated the list again. I don't think we can move Meridia though, as Sibutramine is a controlled substance on the DEA's list.
A Safe to promote List

<UL>
<LI>
<DIV class=Msonormal style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 1.9pt; mso-char-indent-count: 1.0">Viagra</DIV>
<LI>
<DIV class=Msonormal style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 1.9pt; mso-char-indent-count: 1.0">Levitra</DIV>
<LI>
<DIV class=Msonormal style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 1.9pt; mso-char-indent-count: 1.0">Propecia</DIV>
<LI>
<DIV class=Msonormal style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 1.9pt; mso-char-indent-count: 1.0">Bextra</DIV>
<LI>
<DIV class=Msonormal style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 1.9pt; mso-char-indent-count: 1.0">Prilosec</DIV>
<LI>
<DIV class=Msonormal style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 1.9pt; mso-char-indent-count: 1.0">Prevacid</DIV>
<LI>
<DIV class=Msonormal style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 1.9pt; mso-char-indent-count: 1.0">Birth Control Pills?</DIV>
<LI>
<DIV class=Msonormal style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 1.9pt; mso-char-indent-count: 1.0">Xenical</DIV>
<LI>
<DIV class=Msonormal style="MARGIN: 0cm 0cm 0pt">Diflucan</DIV>
<LI>
<DIV class=Msonormal style="MARGIN: 0cm 0cm 0pt">Enpresse (Triphasil)</DIV>
<LI>
<DIV class=Msonormal style="MARGIN: 0cm 0cm 0pt">Ortho Evra Patch</DIV>
<LI>
<DIV class=Msonormal style="MARGIN: 0cm 0cm 0pt"><SPAN style="FONT-SIZE: 8pt; F

[daverx]

Can anyone with more experience than I make an educated guess as to how much longer we will be able to sell ambien/soma/stimulant diet pills/ultram/fioricet/etc.? I'm aware no one knows for sure, but maybe someone can someone make a ballpark educated guess?


Now the above is regarding these meds given on the basis on just a questionnaire. What if the doctor called like they do at uspharmacyrx.com and now unityrx.com? I hope they're not next on the DEA firing line, but I've got my suspicions. You fill out a questionnaire, get reasonably priced hydro or benzos (valium, xanax, ativan- from usprx), and the doctor or a PA spends a minute or so on the phone with youto verify some information. I can see the DEA getting rid of hydro/benzos in that sort of scenario, but might they allow us to continue selling danger list meds if we did it that way? Maybe charge the customer a consult fee and give them 2 refills at a cheaper price?


Another idea are the places like http://www.norcoworldwide.com who require medical records and a phone consultation. If the doctor maintains medical records, has a "real" phone consult with you, what makes that any less legit than if you did the same thing at a local doctor? A local doctor doesn't always perform a physical exam; if your records show you had one, why isn't that sufficient?


Also, are the laws in Canada different? Might we be able to sell to them from Canadian OP programs (not the ones who sell back to the U.S., I'm talking about Canada to Canada sales)? I know meds are cheaper up there, but people use OP's for a variety of reasons...


I never expected to live the rest of my life on OP sales. But instead of getting rid of the danger list meds, why not just modify the rules for them? Get the birth control/herpes/allergy meds through the quesionnaire, but if you want something stronger, have a doctor get more involved.


I just wish there were some clear guidelines on what is neccessary to sell what. If it takes faxed medical records and a port-a-medic visit, then so be it, but if that is the case then you should be able to sell hydro/benzos as well, since to me that is the same (and possibly more in-depth) than going to a local doc-in-the-box. Instead of raiding pharmacies, why can't they just tell us what is acceptable and what is not? The fact they haven't given any real, solidguidelines makes it seem more and more like all these busts are just a PR game for them.


-daverx smileys/smiley5.gif

[MWS_Brian]

Geez, This is an interesting thread.


I guess I would say what you are really trying to do is figure out where the DEA will not make staements, etc ?


ANY control (3-5) is there. period.


NON CONTROL (like the viagra) No DEA.


But calling it safe, I dont know about. Do we really need more negative about this?


I think instead we just need to see what regulations follow and make the OPs like us follow.


Today, we follow them all. this is ONLY ned on the internet. You have been able to do this for 10 years from classifed ads, etc.


I would not be quick to drop anything, as I feel we are offering a valid service.


Docotrs work for us, yet I have to go wait 2 hours to talk to mine for 30 seconds ?


NO WAY !!I love what we have done from a patient view, and will fight to do this easier all day long !!

[Affiliate]

This is a great post. Now we just need the DEA to approve the list! smileys/smiley2.gif


Losing phentermineis going to hurt. RxRob... want to share a bologna sandwich?

[RxRob]

LOL, i'm going to go buy the biggest chest freezer I can find and fill it to the top with black angus, before the bottom falls out of OP marketingsmileys/smiley17.gif

[smokey]

90% of my sales are phentermine and I hate bologna!!!!!!!!!!!!!!!!!smileys/smiley19.gif

[FredB]

Excellent thread Anni!

[iggy]

It should be added, that selling diet pills or other controlled substances with an online consultation has not been PROVEN to be illegal yet.

If it was, the dea would have done much more than suspend a few licenses. They even admitted that USA will continue to sell controlled substances through other pharmacies.

If the Dea KNEW this was illegal, why would they let USA continue to operate? Why not arrest the owner whosold like 1 gazillion doses of Phentermine?

It is still a grey area.

[smokey]

I personally won't stop selling anything until it is no longer availble!!!!!!!!!!!http://www.rxaffiliateforum.com/smileys/smiley34.gif

[FredB]

Just a thought here, why have none of the big OP's decided to stop Phentermine (and others) sales yet?





Apart from anything else 50-65% of all US citizens fall into the obese category which is adrain on the economy all by itself.

[andrew13]

Thank you for teh post, Anni.


Will store this listin safe place :)

[Jaanis]

Add Xanax, Valiumand Vicodin to the unsafe list.

[phalaris]

Add Xanax, Valiumand Vicodin to the unsafe list.


Add these meds to a new category named "Don't touch even with a 6 feet long pole".


Personally I am also making most of my OP income from Phentermine and I'm still working on Phentermine related sites. A few months ago when I last checked my USAp stats, I noticed they have collective stats for all their affiliates also available. At that time Phentermine was 52% of their monthly sale. So when it comes to diet pills like Phentermine there are people out there who have stakes much bigger than mine and to top this likes of USAp have successfully fought in courts before. If theysurvivein the future so will I and most of us.

[youngndumb]

can someone explain (redex mentioned it)why antidepressants are not safe? they do not appearcontrolled and their potential for abuse is quite low as i understand it takes weeks for someone to even notice effects.

[daverx]

The risk of suicide in a patient with major depressive disorder. There is absolutely no potential for abuse, it's just that when you're dealing with psych patients, you have to be careful like that.


-daverx

[RxRob]

Take a 10mg Buspar and tell me if you can notice anything different smileys/smiley17.gif

[Jaanis]

LOL, RxBob, LOL

[youngndumb]

your answers make sense regarding the antidepressants.


however i once had an ex girlfriend who was really depressed and did all the research and knew all about ssri, mao, etc. she knew exactly what she needed, but was too scared to see her doctor in case they told her parents, or one of her friends or relativs found out. so the poor girl was always depressed. i amsure antidepressants would have helped her and if the internet exisited back then, she could have lead a much more productive life and been much happier.


or how about girls who are going to have sex regardless, but are too scared to see a doctor to get the pill. i would much rather see my teenage daughter go behind my back and go on the pill, then not go on it at all.


i would _much_ rather someone with herpes get treated than spread it to my son/daughter/nephew/etc.


_many_ doctors underprescribe pain medication. my father for one is in major amounts of pain due to complicated surgery, yet he is lucky to recieve tylenol 1s


when all 4 wisdom teeth were pulled years ago, i was prescribed "an extra strength tylenol should do it" "if not, maybe try some motrin" lets just say i was in major pain for a few days


sorry for getting off topic, but i really feel that if ops are banned, it will bea real shame for the general public. sure some abuse the system, but they will abuse it regardless.

[EPSRX]

[QUOTE=Anni]


mightyfist


Thanks that's really useful, I've updated the list again. I don't think we can move Meridia though, as Sibutramine is a controlled substance on the DEA's list.
A Safe to promote List

<UL>
<LI>
<DIV class=Msonormal style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 1.9pt; mso-char-indent-count: 1.0">Viagra</DIV>
<LI>
<DIV class=Msonormal style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 1.9pt; mso-char-indent-count: 1.0">Levitra</DIV>
<LI>
<DIV class=Msonormal style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 1.9pt; mso-char-indent-count: 1.0">Propecia</DIV>
<LI>
<DIV class=Msonormal style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 1.9pt; mso-char-indent-count: 1.0">Bextra</DIV>
<LI>
<DIV class=Msonormal style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 1.9pt; mso-char-indent-count: 1.0">Prilosec</DIV>
<LI>
<DIV class=Msonormal style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 1.9pt; mso-char-indent-count: 1.0">Prevacid</DIV>
<LI>
<DIV class=Msonormal style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 1.9pt; mso-char-indent-count: 1.0">Birth Control Pills?</DIV>
<LI>
<DIV class=Msonormal style="MARGIN: 0cm 0cm 0pt; TEXT-INDENT: 1.9pt; mso-char-indent-count: 1.0">Xenical</DIV>
<LI>
<DIV class=Msonormal style="MARGIN: 0cm 0cm 0pt">Diflucan</DIV>
<LI>
<DIV class=Msonormal style="MARGIN: 0cm 0cm 0pt">Enpresse (Triphasil)</DIV>
<LI>
<DIV class=Msonormal style="MARGIN: 0cm 0cm 0pt">Ortho Evra Patch</DIV>
<LI>
<DIV class=Msonormal style="MARGIN: 0cm 0cm 0pt"><SPAN style="FON

[scottdaman]

Dang, talk about raising the dead. LOL

[icollect]

Folks, can anyone make contact with the DEA? I've called 7 or 8 times and can't even get a call back. The calls are all answered by phone mail with Marilyn Monroe Voices who never return phone calls. I admire the list and the amount of cooperation it took to put together, this shows me we can win, but we need to seek approval from some source.


Our problem is that we're already in their sites, would reducing the list of medications offered make any difference? I hit on this last night, I've talked to several ops and they all agree that they don't want us shipping aspirin over the web.


We can all agree on a list, but who agrees with us? I will try to contact the DEA today with the final list if you want me to, to see if they will allow a grace period while legal definitions are drawn? What do you folks think?

[iggy]

I was under the impression the the online consult was the problem, not the medication. If the prescription is legit, why should it matter how the dea classifies it?

Drugstore.com can prescribe any medication they want.

http://www.drugstore.com/pharmacy/prices/drugprice.asp?ndc=0 0140000401&trx=1Z5006

[redex]

Sendthem a letter, Fedex it overnight!


The Honorable Karen Tandy
Administrator
Drug Enforcement Administration
2401 Jefferson Davis Highway
Alexandria, VA 22301


The Honorable Mark B. McClellan, M.D., Ph.D.
Commissioner
Food and Drug Administration
5600 Fishers Lane
Rockville, MD 20857


The Honorable Robert Bonner
Commissioner
U.S. Customs and Border Protection
1300 Pennsylvania Avenue, N.W.
Washington, D.C. 20229

[redex]

I was under the impression the the online consult was the problem, not the medication. If the prescription is legit, why should it matter how the dea classifies it?

Drugstore.com can prescribe any medication they want.



They cannot prescribe anything. They can FILL any prescription for any medication THAT THEY HAVE IN STOCK. We are concentrating on popular medications, best sellers so to speak. The OPs don't want to stock every medication. The issue is the valid prescription.

[iggy]

Didn't mean prescribe :)

Obviously if it is the best sellers list, controlled substances will be include than. Thanks for the answer!

[icollect]

Guys there is no legal prescription without the doctor/patient relationship. They are not going to allow us to prescribe or ship anything without the doctor/patient relationship. The committee is pushing the DEA for enforcement action aganist all internet pharmacies where there is no doctor patient relationship.

[JohnDoe]

ÿ Guys there is no legal prescription without the doctor/patient relationship.ÿ They are not going to allow us to prescribe or ship anything without the doctor/patient relationship.ÿ The committee is pushing the DEA for enforcement action aganist all internet pharmacies where there is no doctor patient relationship.


In everything I have read (more then I care to think about), it seems everything comes back to the one thing, the prescription based on a doctor/ patient relationship.

I gather from the articles (true and BS), FDA, DEA and DOJ statements as well as others, breifs from commitees and fact finding bodies, that any drug that is not availible over the counter is being looked upon as a controlled substance. This is so, merely because it requires a prescription to get and they are saying no doctor patient relationship = no prescription = no dispensing of meds = OPs out of business.

Unless I missed it somewhere else on this forum, I would like to point out that it REALLY appears they are trying to redefine what a controlled substance is.

Portameds sounds like a great idea, icollect indicates he has used this system with success. If this is the case and it can be done on a large scale, why would you need an approval from anyone as to the list of meds?

Do I misunderstand something? smileys/smiley5.gif If you have a real live doctor/ patient relationship, that produces a legal prescription, which OPs dispense medications as a result enabling them to turn a profit and stay in business, legally, then why worry about an approved list?? They should ALL be approved if this model is followed. smileys/smiley16.gif

If these things have taken place I can not for the life of me see the waste of time and beating yourself up to get the approval of someone who is going to try to find something wrong with the plan, any plan, no matter how legitimate it is.

I have heard Doctors whom have never prescribed outside of the guidelines indicate that they have received letters from DEA stating they have prescribed a certain type of medication for too many different patients. Often requiring an explanation in writing, even though it is something as simple as cold and flu season. Who knows why or what the motivation, but it happens.

I would not bother with the stress to yourselves. No one will ever make them happy, no matter how perfect a system is. Your system is legal as I have heard it, a well thought out plan. Doctors need to do their paperwork, OPs need to do theirs as required and affiliates need not worry about the rest.


Live Doctor/ Patient relationship = Valid - Legal prescription = legally dispensed meds = making money to buy a mansion on the beach.</font>

Plan your work, work your plan. smileys/smiley1.gif

[iggy]

&lt;Guys there is no legal prescription without the doctor/patient relationship. &gt;

We get it. So, if there is a relationship, the meds would certainly not be limited.

[iggy]

&lt;&lt;The committee is pushing the DEA for enforcement action aganist all internet pharmacies where there is no doctor patient relationship. &gt;&gt;

Why? This seems ludicrous. For waht reason would you care?

I was about to offer financial contribution, but that's a deal closer. I only would work clearly in lines with the law, but have no interest in policing others.

Goood Luck all!

[icollect]

The real thing about establishing the doctor/patient relationship we are no longer internet pharmacies, we are internet health providers, or my favorite term Virtual Health Providers. We are no longer required to be Vipps Certified as our medications are dispensed as a by product of a doctor/patient relationship via a real world pharmacy.


Soon the days of the wild west will be over. There will be only doctor/patient relationship based models. If you think the patients are going away, I can say your definitely wrong. They don't want traditional medicine, they want private medicine without embarrassment.


This is an embarrassing story but very true. I was seeing a doctor named Mary Bean. Due to the stress my many medical conditions place on my poor old beat up body I developed shingles on the back of my head. Hurt like hell, it's chicken pox with an attitude. The nurse practitioner that was working on me that day wanted me to have a blood work up including an aids test(came back negative of course). This nurse and the lab tech were discussing in very loud voices about how my aids test should be billed, to a full office of patients and medical people. You should have seen the way people looked at me, wow I now know how it feels. Finally the right billing code was assigned and blood drawn, however not before making me wish I were dead or at least invisible.


This happens everyday, people are naturally over whelmed with their own brilliance and will sacrifice their own mothers to prove it.


It's also true that people when sick, don't want to go to the doctors office, and damn sure don't want what's wrong with them announced to the world. Think about it folks, if your kid is sick, do you want to go to the emergency room and spend $500-$1000 or sit at home and have one of our guys show up and fix you for $100-$150 dollars. We would be marketing to an unlimited market saving the consumer, insurance companies, and government billions of dollars. Who's going to screw with us then?

[icollect]

&lt;&lt;The committee is pushing the DEA for enforcement action against all INTERNET pharmacies where there is no doctor patient relationship. &gt;&gt;

Why? This seems ludicrous. For what reason would you care?

I was about to offer financial contribution, but that's a deal closer. I only would work clearly in lines with the law, but have no interest in policing others.

Goood Luck all!


Iggy, I'm sorry you think the IPB is about policing others. It's about survival. There would be no-one representing us in the congressional hearings without an organization. Congress is not going to trust individual entities within our industry to self regulate as that is the current situation and there are 5,000,000 opinions as to what is legal, and they view that as a threat to their power and a danger to the public. The only way to deal with a situation like this is thru one single voice speaking for the industry. Many voices would only confuse the issues. Not being a member of the IPB does not mean not participating, you just did by expressing you opinion.

[JohnDoe]

&lt;&lt;The committee is pushing the DEA for enforcement action aganist all internet pharmacies where there is no doctor patient relationship. &gt;&gt;

Why? This seems ludicrous. For waht reason would you care?

I was about to offer financial contribution, but that's a deal closer. I only would work clearly in lines with the law, but have no interest in policing others.

Goood Luck all!


Iggy, did you read "committee" to mean "IPB"??

If so, as I understand it, the "committee" being referred to is the congressional committee investigating and looking at OPs. The congressional committee is set to have hearings on things Jan 2004.

I don't think anyone with IPB is wanting to police the world, only show that its members operate within the law. From what I've seen you post in the past I would say that is the benefit you would be looking for as well. If I misunderstood someone, I appologize.

[JohnDoe]

"" We would be marketing to an unlimited market saving the consumer, insurance companies, and government billions of dollars. Who's going to screw with us then?""





I don't think anyone is going to screw with anyone if this business model puts Patients in front of Doctors, who write prescriptions required to cure ills or lessen severity of conditions.

I just don't think you ALL should beat yourselves up trying to please a group of GOV people who would not have a job if they stopped finding things wrong with a program, any program.

[icollect]

&lt;&lt;The committee is pushing the DEA for enforcement action against all INTERNET pharmacies where there is no doctor patient relationship. &gt;&gt;

Why? This seems ludicrous. For what reason would you care?

I was about to offer financial contribution, but that's a deal closer. I only would work clearly in lines with the law, but have no interest in policing others.

Goood Luck all!


Iggy, did you read "committee" to mean "IPB"??

If so, as I understand it, the "committee" being referred to is the congressional committee investigating and looking at OPs. The congressional committee is set to have hearings on things Jan 2004.

I don't think anyone with IPB is wanting to police the world, only show that its members operate within the law. From what I've seen you post in the past I would say that is the benefit you would be looking for as well. If I misunderstood someone, I appologize.


Nope JohnDoe, you are not wrong, iggy was quoting me. The committee mentioned was the congressional committee that is investigating INTERNET pharmacies. I do not speak for the IPB. The IPB is an entity all into itself.


Iggy I just wish you consider matching my commitment to help cover what ever cost aren't recovered by initial membership fees to pay our PR firm. I still have to pay my membership dues and will receive no special privileges, in fact I think the IPB will bust by balls just to see the look on my face. smileys/smiley5.gif

[JohnDoe]

IPB does need to be involved with this committee to put forth the vision that health care providers do not have to operate inside a clinic or office setting to be safely functioning in the best interest of patients. Sometimes patients with unusual cases will not be able to be serviced like this and will need to be referred to specialist and other clinics.

Prescriptions do not have to be filled by the pharmacy down the street, nor do patients need to drive to the pharmacy to pick them up. The Doctor can go to the patients home, call or email the script to the pharmacy and Fedex can drop off in the A.M.

The vision is important, but not as important as getting others to see it too. I believe you are well on your way.


Semper Gumby

[kaylowe]

As far as the lists of drugs - there is absolutely no need for antidepressants to be on the border list. They are considered very safe and not at all likely to be abused. I feel that buspar (antianxiety) is safe as well but cannot say that with the certainty of antidepressants.





Just FYI.


Kay

[iggy]

hehe, if a was going to pay for a doc to come to my home, he better prescribe me anything a normal doctor would see fit to prescribe. Doc's give out anti depressants like candy in the real world.

If there is a doc patient relationship, I would assume the doctor can prescribe any FDA approved drug, including hydro, valium, whatever a "normal" doc writes...

[icollect]

iggy, you are right he could. If you were a patient with a history of long term chronic pain, Rheumatoid Arthritis, he could prescribe hydrocodone. If the patientwas a terminal patient, cancer, Oxycotin or Morphine would not be out of the question. The same laws and regulations that govern a doctors prescribing habits would govern the doctors of our network.


In addition the patients that I mentioned above would probably require 15 or 20 other medications which would also be a commission for the referring affiliate. Let's say our example patients medications are $3500 a month, not out of bounds,because mine are that, that would mean that one patient would yield $350 a month for the affiliate.


The above patient also required Xrays, surgery, ect... all of this would net a commission for the affiliate. This is going to be real medicine, with real doctors and patients. There's no reason it can't be world wide either, Local doctors referred in any country.

[DEWIE42]

As far as the lists of drugs - there is absolutely no need for antidepressants to be on the border list. They are considered very safe and not at all likely to be abused. I feel that buspar (antianxiety) is safe as well but cannot say that with the certainty of antidepressants.





Just FYI.


Kay When we were told my Dad had Alsheimer's he was put on buspar, he used to hidethis med somewhere in his mouth (lol) and dispose of it when I wasn't looking (or thought I wasnt)this med was really a good one, many years ago, but now there are others I see advertised on TV, does anyone know the names of the newest meds out for Alsheimer, and what OP if any carries them? smileys/smiley1.gif

[redex]

It may jeopardize their case against affiliates, Icollect.

[Affiliate]

Dewie,


Memantine is the newest drug to treat Alzheimer's. It was just approved by the FDA a few weeks ago.

[icollect]

It may jeopardize their case against affiliates, Icollect.


It won't be long my friend until we don't have to worry about that kind of thing anymore! smileys/smiley16.gif

[medstar]

I am curious as to why a list is being generated if the porta-meds philosophy is being adopted. If the porta-meds philosophy is adopted, thenANY medication can be prescribed. At this point, you may want to consider the antibiotics, valium, xanax, oxycotin, luaracet, etc.


I personally would not offer the list above, but my point is: with a porta-meds model - any medication can be prescribed. A list is not necessary. Let's compete with drugstore.com and give them what they ask for (a million affiliates promoting the same products for much less) and make them obsolete.

[MedsDirect]

Medstar,


This list was started pre-IPB as a brainstorming session for all affiliates to share ideas on what was considered "safe to sell". It's an open for all suggestion list, since there will likely be affiliates that don't join the IPB (heaven forbid) and may just want a list of non-controlled meds etc.


I agree with your comments on port-a-med. Once some OP's have systems in place for them, it will be the way to go.

[icollect]

Medstar, damn I like it! Drugstore.com wouldn't stand a chance, especially when I get thru with my 4000 boycott drugstore.com sites.