This primarilyhappened becausea lot of enterprisesoptedto alloweachbusinessdepartment to take careofitsitneeds, instead of relying on a centrallymanaged it organization.
They found that doctors in one managedcareorganization were just as likely to prescribe ulcer drugs with the Cox-2 inhibitors as they were cheaper drugs.
Kaiser Permanente, the large managed-care organization, has started a training program for pharmacists that includes confirming the directions for use and stressing the importance of taking medication as prescribed.