Robert W. Hannan
As they say, there is strength in
numbers. Community pharmacy
has put this to the test and
can say without a doubt that it is true! The
recent decision by Congress to forgo the
mandatory mail-order provision for military
active-duty and retirees, all part of
the Defense Authorization Act, was a testament
to the fact that with "one voice"
community pharmacy can be relevant
and have a positive impact. This one voice
resonated with legislators in Washington
loud and clear, all through the efforts of
the Coalition for Community Pharmacy
Action, a true partnership between the
National Association of Chain Drug Stores
(NACDS) and the National Community
Pharmacists Association (NCPA).
Pharmacists and military beneficiaries
nationwide sent >100,000 e-mails and
letters and placed calls to the offices of
their congressional representatives over
the past 2 months urging them to continue
to provide military beneficiaries the
choice to use community pharmacy for
their medications instead of mail order.
While we are pleased with the decision
to continue providing choice to our military
personnel, our work is not over. Plans
are being developed to continue to work
with the Department of Defense to assist
in the implementation of this critical
piece of legislation and to continue to find
additional ways to reduce the costs of
products for the retail portion of the prescription
program.
Another example of how one voice can
have significant impact in the industry is
through a collaborative initiative between
community pharmacy and the pharmaceutical
industry.
Recently, NACDS, NCPA, and the
Pharmaceutical Research and Manufacturers
of America (PhRMA) came
together to discuss the issue of how the
value of prescription medications coupled
with the medication-related services
provided by pharmacists can be better
understood by patients and payers of
health care.
The value of medicines can be demonstrated
through the ongoing advancements
in drug discovery, leading to more
innovative therapies and patients living
longer. Pharmacists can play a complementary
and valuable role by helping
patients understand their medications
and the important long-term health outcome
of taking them as prescribed. It is
only by the combination of the 2, pharmaceuticals
and pharmacy services, that the
true value of what we do is accomplished.
One term that we have been
using to describe our efforts is "the dual
value message."
You may be wondering why this is such
an important issue that it warrants the
tremendous resources of 3 organizations'
efforts. As you know, the US health care
system is faced with tremendous challenges,
especially in the area of escalating
costs. The critical question facing payers
of health care today is how to deliver
quality care at a lesser cost to the system.
For years, the focus to accomplish
this goal was on the cost drivers, which
were primarily the price of pharmaceuticals.
Recently, the focus has shifted away
from costs to the longer-term benefits of
delivering quality care. Research has
shown that overall health care costs can
decline if patients understand their medications
and take their medications as
prescribed. This is where the pharmacist
comes into play. Pharmacists are uniquely
positioned and equipped to maximize
the value of medicines through the implementation
of expanded patient services.
This will be an important collaborative
effort for our industry, and it can also
demonstrate that by speaking with one
voice, our message will be heard. The
meetings have just begun, and I will continue
to share some of the work of this
group as we progress.
Mr. Hannan is serving as president
and chief executive officer of the
National Association of Chain Drug
Stores.