{"id":2439,"date":"2018-04-01T00:00:47","date_gmt":"2018-04-01T07:00:47","guid":{"rendered":"http:\/\/phosdev.com\/todaysveterinarybusiness\/?p=2439"},"modified":"2022-03-10T18:28:54","modified_gmt":"2022-03-10T18:28:54","slug":"fighting-good-fight","status":"publish","type":"post","link":"https:\/\/navc.sitepreview.app\/todaysveterinarybusiness.com\/fighting-good-fight\/","title":{"rendered":"Fighting the good fight"},"content":{"rendered":"

The direct-channel relationship between veterinarians, drug manufacturers and distributors ensures clients that the medications prescribed for their pets are safe, effective and of the highest quality.<\/p>\n

In the internet age, however, consumer websites offer pet drugs at discounted prices, and many national stores, such as PetSmart, Walmart and Target, sell name-brand prescription pet products. How some retailers acquire pet pharmaceuticals<\/a> is controversial because the majority of manufacturers say they sell to veterinarians only or to a handful of recognized national distributors.<\/p>\n

What is not in dispute is that many prescription products sold outside the veterinary channel have been diverted to gray-market distributors, who in turn sell directly to consumers or to other unauthorized sellers. It\u2019s a shadowy, multimillion-dollar operation with potentially serious consequences for manufacturers, veterinarians and pet owners, experts say.<\/p>\n

\u201cAt Zoetis, we believe diversion of veterinary medicine is a very significant problem,\u201d said Steve Leder, senior vice president of Companion Animal and U.S. Distribution. \u201cIn fact, so much so that all of our contracts have anti-diversion clauses in them.\u201d<\/p>\n

Fake Drugs<\/h3>\n

Consumers who purchase pet medications online or at a big-box store might enjoy the convenience and cost savings, but the benefits come with risks, warned Carmen Catizone, MS, RPh, DPh, executive director of the National Association of Boards of Pharmacy. The biggest danger is that a pet could become sick or even die because a drug is counterfeit.<\/p>\n

It\u2019s not hyperbole. On the human side, the NABP has uncovered websites shipping counterfeit drugs that contained paint, pesticides and other dangerous compounds, Dr. Catizone said.<\/p>\n

It\u2019s an issue of concern to veterinary industry manufacturers as well.<\/p>\n

\u201cWe don\u2019t believe the availability of prescription veterinary products, especially a product as medically significant as, say, a heartworm preventative, outside the veterinary channel represents the best interest of pets or pet owners,\u201d Leder said. \u201cWe can\u2019t be certain how our products reach unauthorized gray-market aggregators or diverters, and therefore we can\u2019t ensure the product\u2019s authenticity, nor can we ensure that products coming through that channel were properly stored or shipped.\u201d<\/p>\n

The latter point is important because improperly stored medications may lose their potency, rendering them useless.<\/p>\n

Not Against the Law<\/h3>\n

Online and big-box retailers that sell veterinary drugs without permission are reluctant to discuss how they acquire the products. (PetSmart, PetMed Express Inc. and PetCareRx did not respond to repeated requests for comment.) However, PetMed Express, which operates 1-800-PetMeds.com, offered some insight in its 2017 annual report to shareholders, noting: \u201cHistorically, many of the major pharmaceutical manufacturers have declined to sell prescription and nonprescription pet medications directly to us. In order to assure a supply of these products, we purchase medications from various secondary sources, including a variety of domestic distributors.\u201d<\/p>\n

What is important to note, Leder and Dr. Catizone said, is that the unauthorized resale of veterinary drugs, while bad practice, is not against the law. However, the sale of prescription drugs to consumers without a prescription is unlawful, which is why the more prominent companies require a prescription from a veterinarian before an order is filled.<\/p>\n

Manufacturers like Zoetis say they work hard to curb the diversion of veterinary drugs.<\/p>\n

\u201cWe have a number of things that we do internally in that regard, but it is proprietary information and I\u2019m not at liberty to go into that,\u201d Leder said. \u201cOne thing I can tell you is that we regularly monitor our customers\u2019 ordering patterns, and when we detect anything out of the ordinary, we investigate to ensure that nothing irregular is going on. We also have a responsibility to alert veterinarians who may be providing pet owners with prescriptions to be filled outside their practice that Zoetis can\u2019t guarantee the authenticity or proper storage and handling of such products purchased by pet owners outside of the veterinary channel.<\/p>\n

\u201cMoreover, we reserve the right to stop selling our products to a customer if that customer has been found to be diverting product to unauthorized resellers.\u201d<\/p>\n

Zoetis will not honor any guarantees for products a pet owner purchases from unauthorized sources and will not provide financial support in the event of an adverse experience or lack of efficacy.<\/p>\n

\u201cIn all incidents, Zoetis reserves the right to ask for verification of purchase from Zoetis or one of our four select authorized distributors,\u201d Leder said.<\/p>\n

Monitoring Orders<\/h3>\n

Boehringer Ingelheim monitors sales and takes steps to control the diversion of its veterinary medications, said Mike Hamby, head of the company\u2019s U.S. pet business.<\/p>\n

\u201cThe efficacy, safety and integrity of our products is of paramount importance to us and the veterinarians who recommend them,\u201d Hamby said. \u201cAs the quality and efficacy of diverted products are unknown, we have established protocol in place to monitor for and address reported instances of diversion of our products. We encourage veterinarians to report any suspected diversion of our medications so we may take appropriate action.\u201d<\/p>\n

On the distribution end, Henry Schein Animal Health, which stocks pharmaceutical products from many different manufacturers, stated that it watches customer purchases for signs of diversion and acts accordingly.<\/p>\n

\u201cWe have internal controls in place that monitor customer orders to identify and prevent inappropriate controlled substance distribution,\u201d the company said in a statement. \u201cThese internal controls, which we have developed with ex-DEA experts, require all customers to provide detailed information about their practice to ensure that orders are appropriate for the scope of that practice.<\/p>\n

\u201cAs practices grow, we actively monitor opioid sales and adjust accordingly. When we find orders that fall outside what would be appropriate for the scope of the practice, based on the account history, size, and ordering pattern and frequency, we determine the acceptability for the completion of the order.\u201d<\/p>\n

Rogue Websites<\/h3>\n

The National Association of Boards of Pharmacy is attempting to curb drug diversion by monitoring spurious online pharmacies.<\/p>\n

\u201cWe have a team that searches the internet every day and identifies sites that we believe are operating illegally or rogue sites for which we can\u2019t gather enough information and suspect are not operating legally,\u201d Dr. Catizone said. \u201cWe publish that information on our website. Of the 14,000 websites we have identified, we believe around 95 percent are illegal or rogue sites. That\u2019s how large the problem is.\u201d<\/p>\n

In the past, the NABP issued a seal to be placed on the websites of accredited pharmacies that dispense prescription drugs and devices for companion and non-food-producing animals. But it recently stopped the program because unauthorized websites were taking the seal and using it without permission.<\/p>\n

Now the association issues a \u201c.pharmacy\u201d domain to sites that pass its vetting process.<\/p>\n

\u201cThe domain says that we have verified the website, who it is affiliated with, and that they are appropriately licensed and appear to be doing business properly,\u201d Dr. Catizone said. \u201cAround 500 pharmacy sites, including a handful of veterinary pharmacies, use the .pharmacy domain.\u201d<\/p>\n

Veterinarians can help reduce drug diversion by purchasing medications directly from manufacturers or approved distributors, and explaining to clients why the use of unauthorized distributors may be dangerous, Dr. Catizone said.<\/p>\n

\u201cI would also encourage veterinarians to do some research for clients and create a list of approved pharmacies or websites for the fulfillment of prescriptions outside the office,\u201d he added. \u201cAt least the veterinarian will know that the client is going to a legitimate site and will not be causing injury to their pet.\u201d<\/p>\n

\n

RED FLAGS<\/span><\/h3>\n

Unauthorized drug distributors and sellers know what attracts customers and have become quite savvy at luring unsuspecting pet owners looking for a bargain. However, there are numerous signs that a website is illegitimate, said Carmen Catizone, executive director of the National Association of Boards of Pharmacy.<\/p>\n

They include:<\/p>\n

    \n
  • The website contains no information on where the company is physically located.<\/li>\n
  • The state board of pharmacy has no record of the website or can\u2019t find information for the website.<\/li>\n
  • The website provides no contact information for an affiliated veterinarian or pharmacist.<\/li>\n
  • The website does not require a prescription to fill an order.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"

    For one veterinarian, drug diversion was a way to keep his business afloat and his staff employed.<\/p>\n","protected":false},"author":52,"featured_media":2440,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"iawp_total_views":0,"footnotes":""},"categories":[339],"tags":[],"class_list":["post-2439","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-april-may-2018","column-features","clinical_topics-merchandising"],"acf":{"hide_sidebar":false,"hide_sidebar_ad":false,"hide_all_ads":false},"yoast_head":"\nFighting the good fight | Today's Veterinary Business<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Fighting the good fight\" \/>\n<meta property=\"og:description\" content=\"For one veterinarian, drug diversion was a way to keep his business afloat and his staff employed.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/navc.sitepreview.app\/todaysveterinarybusiness.com\/fighting-good-fight\/\" \/>\n<meta property=\"og:site_name\" content=\"Today's Veterinary Business\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/todaysveterinarybusiness\" \/>\n<meta property=\"article:published_time\" content=\"2018-04-01T07:00:47+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2022-03-10T18:28:54+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/navc.sitepreview.app\/todaysveterinarybusiness.com\/wp-content\/uploads\/sites\/2\/2018\/03\/Cover-Diversion.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"650\" \/>\n\t<meta property=\"og:image:height\" content=\"454\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Mary L. 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