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Drug Importation Debate: Ilisa Bernstein on the Global Pill
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Summary
Ilisa Bernstein, a senior Vice President at the American Pharmacists Association, discusses the history and current landscape of drug importation policies with a focus on Florida's program.
Safety concerns, supply chain issues, and intellectual property rights are key considerations. The impact on the Canadian drug supply and the transparency of imported drugs for consumers are also discussed. Manufacturer concerns regarding rebates and discounts, as well as potential oversupply and export restrictions, are highlighted. The conversation explores the complexities and concerns surrounding drug importation programs. It discusses the mechanisms that manufacturers may use to control drug importation, such as restricting volume or increasing prices. The potential impact on the drug supply in Canada and the need for policies to protect it are also examined. The logistical challenges at the border and the vulnerabilities in the drug supply chain are highlighted. The importance of maintaining patient confidence in drug quality and the risks associated with personal drug importation are discussed. The conversation concludes by considering alternative solutions to lower drug prices and the inspiration drawn from historical figures.
Chapters
00:00 Introduction of Ilisa Bernstein
01:19 Background on Drug Importation
08:21 Safety Concerns
10:04 Supply Chain and Drug Source
14:58 Transparency and IP Issues
20:57 Consumer Transparency and NDC Numbers
21:10 Intellectual Property Concerns
22:59 Challenges and Points of Contention
25:12 Manufacturer Concerns: Rebates and Discounts
28:06 Oversupply and Export Restrictions
29:09 Mechanisms to Control Drug Importation
30:39 Policies to Protect Drug Supply in Canada
31:12 Logistical Challenges at the Border
33:07 Vulnerabilities in the Drug Supply Chain
35:03 Maintaining Patient Confidence in Drug Quality
36:31 Risks Before the Border
38:01 Complexities and Concerns for Community Pharmacists
41:31 The Future of Drug Importation Programs
44:00 The Motivation Behind Drug Importation Programs
46:01 Exploring Other Solutions to Lower Drug Prices
48:19 The Illegality of Personal Drug Importation
49:05 Balancing Cost Savings and Patient Safety
50:02 Inspiration from Historical Figures
Resources:
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