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    Tuesday, July 02, 2002

    Bane of My Existence: Merck-Medco is a pharmacy benefit company and subsidiary of the Merck pharmaceutical company. They contract out to insurance companies to provide drug benefits for patients. Of course, their real objective is to get as many people as possible on Merck drugs. Merck is planning to offer public stock in the company in anticipation of divesting itself of it. The new drug benefit company will be called Medco, but it will still be pushing Merck drugs:

    Merck-Medco, based in Franklin Lakes, will change its name to Medco Health Solutions after the spinoff, but will still be beholden to Merck. A five-year contract the two companies are expected to sign as a condition of the spinoff requires Medco to push sales of Merck drugs wherever possible or face substantial payments to Merck.

    I hate Merck-Medco, and judging from the email groups I belong to, so do most other doctors. They send annoying letters every month nagging me to change my patients to Merck products, even if it isn't in the patient's best interest, and even if I have made it clear to them that this is the case. They just keep sending the letters, hoping to wear me down. At some point, they realize it isn't working. That's when they really get annoying. They start to call the office. They call, and they call, and they call. Again, and again, and again. And they continue to send the letters, by mail and by fax. Nothing stops them. I've finally come to regard them as I do an annoying insect. I don't take any notice of them except to swat them away with an automatic "no."

    It looks like things will only get worse when Medco is spun off into its own company, especially if they are going to have to pay financial penalties to Merck for failing to push Merck drugs. Sounds like a bad investment to me. It certainly is a bad way to practice medicine.
     

    posted by Sydney on 7/02/2002 05:41:00 AM 0 comments

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