US20110119085A1 - Sensitive drug distribution system and method - Google Patents

Sensitive drug distribution system and method Download PDF

Info

Publication number
US20110119085A1
US20110119085A1 US13/013,680 US201113013680A US2011119085A1 US 20110119085 A1 US20110119085 A1 US 20110119085A1 US 201113013680 A US201113013680 A US 201113013680A US 2011119085 A1 US2011119085 A1 US 2011119085A1
Authority
US
United States
Prior art keywords
prescription drug
drug
company
prescription
patient
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Abandoned
Application number
US13/013,680
Inventor
Dayton T. Reardan
Patti A. Engel
Bob Gagne
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Orphan Medical Inc
Jazz Pharmaceuticals Inc
Original Assignee
Orphan Medical Inc
Jazz Pharmaceuticals Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Family has litigation
First worldwide family litigation filed litigation Critical https://patents.darts-ip.com/?family=32507272&utm_source=google_patent&utm_medium=platform_link&utm_campaign=public_patent_search&patent=US20110119085(A1) "Global patent litigation dataset” by Darts-ip is licensed under a Creative Commons Attribution 4.0 International License.
Priority to US13/013,680 priority Critical patent/US20110119085A1/en
Application filed by Orphan Medical Inc, Jazz Pharmaceuticals Inc filed Critical Orphan Medical Inc
Publication of US20110119085A1 publication Critical patent/US20110119085A1/en
Priority to US13/453,915 priority patent/US20120209623A1/en
Assigned to BARCLAYS BANK PLC, AS COLLATERAL AGENT reassignment BARCLAYS BANK PLC, AS COLLATERAL AGENT SECURITY INTEREST (SEE DOCUMENT FOR DETAILS). Assignors: EUSA PHARMA (USA), INC., JAZZ PHARMACEUTICALS INTERNATIONAL LIMITED, JAZZ PHARMAEUTICALS, INC.
Priority to US13/592,202 priority patent/US8731963B1/en
Priority to US13/595,757 priority patent/US8457988B1/en
Priority to US13/595,676 priority patent/US8589182B1/en
Priority to US14/196,603 priority patent/US20140188504A1/en
Priority to US14/219,941 priority patent/US20140207481A1/en
Priority to US14/219,904 priority patent/US20140207480A1/en
Assigned to EUSA PHARMA (USA), INC., Jazz Pharmaceuticals, Inc., JAZZ PHARMACEUTICALS INTERNATIONAL LIMITED reassignment EUSA PHARMA (USA), INC. RELEASE BY SECURED PARTY (SEE DOCUMENT FOR DETAILS). Assignors: BARCLAYS BANK PLC, AS COLLATERAL AGENT
Priority to US15/014,831 priority patent/US20160154947A1/en
Priority to US15/057,898 priority patent/US20160180058A1/en
Abandoned legal-status Critical Current

Links

Images

Classifications

    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H10/00ICT specially adapted for the handling or processing of patient-related medical or healthcare data
    • G16H10/60ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H20/00ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
    • G16H20/10ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to drugs or medications, e.g. for ensuring correct administration to patients
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/20ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/20ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H70/00ICT specially adapted for the handling or processing of medical references
    • G16H70/40ICT specially adapted for the handling or processing of medical references relating to drugs, e.g. their side effects or intended usage

Definitions

  • the present invention relates to distribution of drugs, and in particular to the distribution of sensitive drugs.
  • Sensitive drugs are controlled to minimize risk and ensure that they are not abused, or cause adverse reactions. Such sensitive drugs are approved for specific uses by the Food and Drug Administration, and must be prescribed by a licensed physician in order to be purchased by consumers. Some drugs, such as cocaine and other common street drugs are the object of abuse and illegal schemes to distribute for profit. Some schemes include Dr. shopping, diversion, and pharmacy thefts. A locked cabinet or safe is a requirement for distribution of some drugs.
  • GLB gamma hydroxy buterate
  • a drug distribution system and method utilizes a central pharmacy and database to track all prescriptions for a sensitive drug. Information is kept in a central database regarding all physicians allowed to prescribe the sensitive drug, and all patients receiving the drug. Abuses are identified by monitoring data in the database for prescription patterns by physicians and prescriptions obtained by patients. Further verification is made that the physician is eligible to prescribe the drug by consulting a separate database for a valid DEA license, and optionally state medical boards to determine whether any corrective or approved disciplinary actions relating to controlled substances have been brought against the physician. Multiple controls beyond those for traditional drugs are imposed on the distribution depending on the sensitivity of the drug.
  • Education is provided to both physician and patient.
  • the patient Prior to shipping the drug for the first time, the patient is contacted to ensure that product and abuse related educational materials have been received and/or read.
  • the patient may provide the name of a designee to the central pharmacy who is authorized to accept shipment of the drug. Receipt of the initial drug shipment is confirmed by contacting the patient. Either a phone call or other communication to the patient within a set time after delivery may be made to ensure receipt. Further, a courier service's tracking system is used to confirm delivery in further embodiments. If a shipment is lost, an investigation is launched to find it.
  • the drug may be shipped by the central pharmacy to another pharmacy for patient pick-up.
  • the second pharmacy's ability to protect against diversion before shipping the drug must be confirmed. This ability may be checked through NTIS and State Boards of Pharmacy.
  • Prescription refills are permitted in the number specified in the original prescription. In addition, if a prescription refill is requested by the patient prior to the anticipated due date, such refills will be questioned. A lost, stolen, destroyed or spilled prescription/supply is documented and replaced to the extent necessary to honor the prescription, and will also cause a review or full investigation.
  • the exclusive central database contains all relevant data related to distribution of the drug and process of distributing it, including patient, physician and prescription information. Several queries and reports are run against the database to provide information which might reveal potential abuse of the sensitive drug, such as early refills.
  • FIG. 1 is a block diagram of a computer system for use in implementing the system and method of the present invention.
  • FIGS. 2A , 2 B and 2 C are a flowchart describing a method for sensitive drug distribution at least partially utilizing a computer system such as that shown in FIG. 1 .
  • FIG. 3 is a flowchart of a physician success program at least partially implemented on a computer system such as that shown in FIG. 1 .
  • FIGS. 4A and 4B are a flowchart describing a method for handling refill requests at least partially utilizing a computer system such as that shown in FIG. 1 .
  • FIG. 5 is a flowchart of a process for requesting special reimbursement when a patient is uninsured or underinsured at least partially utilizing a computer system as that shown in FIG. 1 .
  • FIG. 6 is a flowchart of a process for inventory control at least partially utilizing a computer system such as that shown in FIG. 1 .
  • FIG. 7 is a block diagram of database fields.
  • FIG. 8 is a block diagram showing a list of queries against the database fields.
  • FIG. 9 is a copy of one example prescription and enrollment form.
  • FIG. 10 is a copy of one example of a NORD application request form for patient financial assistance.
  • FIG. 11 is a copy of one example voucher request for medication for use with the NORD application request form of FIG. 10 .
  • FIG. 12 is a copy of certificate of medical need.
  • FIGS. 13A , 13 B and 13 C are descriptions of sample reports obtained by querying a central database having fields represented in FIG. 7 .
  • the functions or algorithms described herein are implemented in software or a combination of software and human implemented procedures in one embodiment.
  • the software comprises computer executable instructions stored on computer readable media such as memory or other type of storage devices.
  • computer readable media is also used to represent carrier waves on which the software is transmitted.
  • modules which are software, hardware, firmware of any combination thereof. Multiple functions are performed in one or more modules as desired, and the embodiments described are merely examples.
  • the software is executed on a digital signal processor, ASIC, microprocessor, or other type of processor operating on a computer system, such as a personal computer, server or other computer system.
  • a sensitive drug is one which can be abused, or has addiction properties or other properties that render the drug sensitive.
  • a drug is sodium oxybate, also known as gamma hydroxy butyrate (GHB C 4 H 7 NaO 3 ) which is useful for treatment of cataplexy in patients with narcolepsy.
  • GHB is marketed under the trademark of Xyrem® (sodium oxybate oral solution), which trademark can be used interchangeably with GHB herein.
  • Sensitive drugs also include narcotics or other drugs which require controls on their distribution and use to monitor behaviors to prevent abuse and adverse side effects.
  • Xyrem® is subject to a restricted distribution program.
  • One aspect of the program is to educate physicians and patients about the risks and benefits of Xyrem, including support via ongoing contact with patients and a toll free helpline. Initial prescriptions are filled only after a prescriber and patient have received and read the educational materials. Further, patient and prescribing physician registries are maintained and monitored to ensure proper distribution.
  • bulk sodium oxybate is manufactured at a single site, as is the finished drug product. Following manufacture of the drug product, it is stored at a facility compliant with FDA Schedule III regulations, where a consignment inventory is maintained. The inventory is owned by a company, and is managed by a central pharmacy, which maintains the consignment inventory. Xyrem® is distributed and dispensed through a primary and exclusive central pharmacy, and is not stocked in retail pharmacy outlets. It is distributed by overnight carriers, or by US mail in one embodiment to potentially invoke mail fraud laws if attempts of abuse occur.
  • FIG. 1 is a simplified block diagram of a computer system 100 , such as a personal computer for implementing at least a portion of the methods described herein.
  • a central processing unit (CPU) 110 executes computer programs stored on a memory 120 .
  • Memory 120 in one embodiment comprises one or more levels of cache as desired to speed execution of the program and access to data on which the programs operate.
  • the CPU is directly coupled to memory 120 in one embodiment.
  • Both CPU 110 and memory 120 are coupled to a bus 130 .
  • a storage 140 , I/O 150 and communications 160 are also coupled to the bus 130 .
  • Storage 140 is usually a long term storage device, such as a disk drive, tape drive, DVD, CD or other type of storage device. In one embodiment, storage 140 is used to house a database for use with the present invention.
  • I/O 150 comprises keyboards, sound devices, displays and other mechanisms by which a user interacts with the computer system 100 .
  • Communications 160 comprises a network, phone connection, local area network, wide area network or other mechanism for communicating with external devices.
  • external devices comprise servers, other peer computers and other devices.
  • external device comprises a database server that is used in place of the database on storage 140 .
  • Other computer system architectures capable of executing software and interacting with a database and users may also be used. Appropriate security measures such as encryption are used to ensure confidentiality. Further, data integrity and backup measures are also used to prevent data loss.
  • FIGS. 2A , 2 B and 2 C represent an initial prescription order entry process for a sensitive drug, such as Xyrem.
  • a medical doctor sends a Rx/enrollment form via mail, fax, email or other means to an intake/reimbursement specialist at 204 , who makes a copy of the RX/enrollment form that is stamped “copy”.
  • the original fax is forwarded to a pharmacy team.
  • the enrollment form contains prescriber information, prescription information, checkboxes for the prescriber indicating they have read materials, educated the patient, understand the use in treatment, and understand certain safety information, and also contains patient information.
  • the prescriber information contains standard contact information as well as license number, DEA number and physician specialty.
  • Patient and prescription information includes name, social security number, date of birth, gender, contact information, drug identification, patient's appropriate dosage, and number of refills allowed, along with a line for the prescriber's signature.
  • Patient insurance information is also provided.
  • the intake work flow 206 starts with an intake reimbursement specialist entering the patient and physician information into an application/database referred to as CHIPS, which is used to maintain a record of a client home infusion program (CHIP) for Xyrem®.
  • CHIPS client home infusion program
  • a check is made to ensure the information is complete at 212 . If not, at 214 , an intake representative attempts to reach the MD or prescriber to obtain the missing information. If the missing information has not been obtained within a predetermined period of time, such as 24 hours at 216 , the Rx/Enrollment form is sent back to the MD with a rejection explanation. A note is entered in CHIPS that the application was rejected.
  • the MD is contacted at 220 to verify receipt and accuracy of the patient's Rx. This contact is recorded in CHIPS.
  • the intake and reimbursement specialist then sends a consent form and a cover letter to the patient at 224 .
  • the insurance provider is contacted at 226 to verify coverage and benefits.
  • a determination is made regarding coverage for the drug. If it is not available, it is determined at 230 whether the patient is willing and able to pay. If not, a process is performed for handling patients who are uninsured or underinsured. In one embodiment, the process is referred to as a NORD process.
  • the intake reimbursement specialist submits a coverage approval form with the enrollment form to the pharmacy team as notification to process the patient's prescription. If coverage is approved at 228 , the intake reimbursement specialist also submits the coverage approval form with the enrollment form to the pharmacy team as notification to process the patient's prescription. Processing of the prescription is described below.
  • the patient Upon receipt and initial processing of the prescription enrollment form and sending an original to the pharmacy work flow block 208 , the patient is shipped a Xyrem® success packet via mail.
  • the Xyrem® success packet contains educational material for a patient that advises of the proper use, care and handling of the drug and consequences of diversion at 268 .
  • the medical doctor's credentials are checked to determine if the physician has a current DEA license to prescribe controlled substances and if he or she has had any actions related to misuse/misprescribing of controlled drugs against him or her, within a predetermined time, such as three months at 270 . If they have, a pharmacist holds the prescription until receiving a coverage approval form from the intake reimbursement specialist at 272 .
  • the pharmacist verifies the credentials and enters all findings in the database at 274 . If the credentials are approved at 276 , the physician is indicated as approved in a physician screen populated by information from the database at 280 . The prescription is then held pending coverage approval at 282 .
  • management of the pharmacy is notified and either approves processing of the prescription with continued monitoring of the physician, or processing of the prescription is not performed, and the physician is noted in the database as unapproved at 284 .
  • the enrollment form is then mailed back to the physician with a cover letter reiterating that the prescription cannot be processed at 288 .
  • the patient is also sent a letter at 290 indicating that the prescription cannot be processed and the patient is instructed to contact their physician.
  • Actual filling of the approved prescription begins with receipt of the coverage approval form as indicated at 240 .
  • the patient is contacted by the pharmacy, such as by a technician to complete a technician section of a patient counseling checklist If a pharmacist verifies that the program materials were not read at 242 , the receipt of the material is confirmed at 244 and another call is scheduled to counsel the patient before the drug is shipped.
  • the checklist is completed at 246 and the technician transfers the patient to the pharmacist who reviews the entire checklist and completes remaining pharmacist specified sections.
  • the pharmacists indicates in the database that the patient counseling and checklist was successfully completed, indicating the date completed.
  • the pharmacist schedules the patient's shipment for the next business day or the next business day that the patient or designee is able to sign for the package. Further, as indicated at 252 , the shipment must be sent to the patient's home address unless the patient is traveling or has moved. In that event, the pharmacist may determine that an exception may be made. The patient or the patient's designee who is at least 18 years old, must sign for the package upon delivery.
  • the pharmacist enters the prescription order in the database, creating an order number.
  • the pharmacist verifies at 256 the prescription and attaches a verification label to the hard copy prescription.
  • a pick ticket is generated for the order and the order is forwarded to the pharmacy for fulfillment.
  • the shipment is confirmed in the database at 260 , and the order is shipped by USPS Express Mail.
  • Use of the US mail invokes certain criminal penalties for unauthorized diversion.
  • other mail services may be used. Potential changes in the law may also bring criminal penalties into play.
  • the patient is called by the central pharmacy to confirm that the prescription was received.
  • a physician success program materials request process begins at 310 in FIG. 3 .
  • the MD calls to the central pharmacy to request program materials.
  • a special phone number is provided.
  • MD demographics, DEA number, and data or request are entered into the database at 330 .
  • a request is made to ship the materials to the MD via a fulfillment website, or other mechanism. The request process ends at 350 .
  • a refill request process begins at 302 in FIGS. 4A and 4B .
  • a first path beginning at 404 involves generating a report from the central database of patients with a predetermined number of days or product remaining.
  • a second path beginning at 406 is followed when a patient calls to request an early refill.
  • a copy of the report is provided to an intake reimbursement specialist at 408 .
  • a pharmacy technician contacts the patient at 410 to complete the pre-delivery checklist
  • a message is left mentioning the depletion, and a return number at 414 .
  • a note is also entered into the database indicating the date the message was left at 416 .
  • the prescription is entered into the database creating an order at 420 , the pharmacist verifies the prescription and attaches a verification label at 422 and the shipment is confirmed in the database at 424 .
  • a pick ticket is generated for the order and the order is forwarded for fulfillment at 428 , with the first path ending at 430 .
  • the second path beginning at 406 results in a note code being entered into the database on a patient screen indicating an early refill request at 432 .
  • the pharmacist evaluates the patient's compliance with therapy or possible product diversion, misuse or over-use at 436 . In one embodiment, cash payers are also identified.
  • the pharmacist then contacts the prescribing physician to alert them of the situation and confirm if the physician approves of the early refill at 438 . If the physician does not approve as indicated at 440 , the patient must wait until the next scheduled refill date to receive additional product as indicated at 442 , and the process ends at 444 .
  • the pharmacist enters a note in the database on a patient screen that the physician approves the request at 446 .
  • the pharmacist notifies an intake reimbursement specialist to contact the patient's insurance provider to verify coverage for the early refill at 448 . If the insurance provider will pay as determined at 450 , the specialist submits the coverage approval form as notification that the refill may be processed at 452 .
  • the pharmacy technician contacts the patient to schedule shipment of the product for the next business day, and the process of filling the order is continued at 456 by following the process beginning at 240 .
  • the insurance provider will not pay at 450 , it is determined whether the patient is willing and/or able to pay at 458 . If not, the patient must wait until the next scheduled refill date to receive additional product at 460 . If it was determined at 458 that the patient was willing and able to pay, the patient is informed of the cost of the product and is given payment options at 462 . Once payment is received as indicated at 464 , the specialist submits a coverage approval form to the pharmacy team as notification that the refill request can be processed at 466 . At 468 , the pharmacy technician contacts the patient to schedule shipment. The process of filling the order is continued at 470 by following the process beginning at 240 .
  • a process referred to as a NORD process in one embodiment is used to determine whether donated, third party funds are available for paying for prescriptions where neither insurance will, nor the patient can pay.
  • the process begins at 510 upon determining that a patient is uninsured or underinsured.
  • a reimbursement specialist explains the NORD program to the patient and faxes an application request form to NORD for the patient.
  • the intake reimbursement specialist documents in the database that an application has been received through NORD.
  • NORD mails an application to the patient within one business day.
  • NORD determines whether the patient is approved. If not, at 530 , NORD sends a denial letter to the patient, and it is documented in the database at 540 that the patient was denied by NORD. If the patient is approved, NORD sends an acceptance letter to the patient and faxes a voucher to the central pharmacy (SDS in one embodiment) to indicate the approval at 545 .
  • SDS central pharmacy
  • an intake reimbursement specialist submits a coverage approval form to the pharmacy team as notification that the patient has been approved for coverage. The process of filling the order is continued at 555 by following the process beginning at 240 .
  • An inventory control process is illustrated in FIG. 6 beginning at 610 .
  • a responsible person at the central pharmacy such as the director of the pharmacy transfers inventory for the week's shipments to a segregated warehouse location for production inventory.
  • a purchase order is generated for the inventory transferred to the production location and is sent, such as by fax, to a controller, such as the controller of the company that obtained approval for distribution and use of the sensitive drug.
  • the controller invoices the central pharmacy for the product moved to production.
  • the process ends at 640 .
  • the central database described above is a relational database running on the system of FIG. 1 , or a server based system having a similar architecture coupled to workstations via a network, as represented by communications 160 .
  • the database is likely stored in storage 140 , and contains multiple fields of information as indicated at 700 in FIG. 7 .
  • the organization and groupings of the fields are shown in one format for convenience. It is recognized that many different organizations or schemas may be utilized.
  • the groups of fields comprise prescriber fields 710 , patient fields 720 , prescription fields 730 and insurance fields 740 .
  • all the entries described with respect to the above processes are included in the fields. In further embodiments, no such groupings are made, and the data is organized in a different manner.
  • a first query at 810 is used to identify prescriptions written by physician.
  • the queries may be written in structured query language, natural query languages or in any other manner compatible with the database.
  • a second query 820 is used to pull information from the database related to prescriptions by patient name.
  • a third query 830 is used to determine prescriptions by frequency, and a n th query finds prescriptions by dose at 840 .
  • Using query languages combined with the depth of data in the central database allows many other methods of investigating for potential abuse of the drugs.
  • the central database ensures that all prescriptions, prescribers and patients are tracked and subject to such investigations.
  • the central database may be distributed among multiple computers provided a query operates over all data relating to such prescriptions, prescribers and patients for the drug.
  • FIG. 9 An example of one prescription and enrollment form is shown at 900 in FIG. 9 . As previously indicated, several fields are included for prescriber information, prescription information and patient information.
  • FIG. 10 is a copy of one example NORD application request form 1000 used to request that an application be sent to a patient for financial assistance.
  • FIG. 11 is a copy of one example application 1100 for financial assistance as requested by form 1000 .
  • the form requires both patient and physician information. Social security number information is also requested.
  • the form provides information for approving the financial assistance and for tracking assistance provided.
  • FIG. 12 is a copy of one example voucher request for medication for use with the NORD application request form of FIG. 10 .
  • prescription information and diagnosis information is also provided.
  • FIGS. 13A , 13 B and 13 C are descriptions of sample reports obtained by querying a central database having fields represented in FIG. 7 .
  • the activities grouped by sales, regulatory, quality assurance, call center, pharmacy, inventory, reimbursement, patient care and drug information.
  • Each report has an associated frequency or frequencies.
  • the reports are obtained by running queries against the database, with the queries written in one of many query languages.

Abstract

A drug distribution system and method utilizes a central pharmacy and database to track all prescriptions for a sensitive drug. Information is kept in the database regarding all physicians allowed to prescribe the sensitive drug, and all patients receiving the drug. Abuses are identified by monitoring data in the database for prescription patterns by physicians and prescriptions obtained by patients. Further verification is made that the physician is eligible to prescribe the drug by consulting a separate database, and optionally whether any actions are taken against the physician. Multiple controls beyond those for normal drugs are imposed on the distribution depending on the sensitivity of the drug.

Description

    RELATED APPLICATION
  • This application is a Continuation of U.S. application Ser. No. 12/704,097, which is a Continuation of U.S. application Ser. No. 10/322,348, filed on Dec. 17, 2002 and issued on Feb. 23, 2010 as U.S. Pat. No. 7,668,730, which applications are incorporated by reference herein in their entirety.
  • FIELD OF THE INVENTION
  • The present invention relates to distribution of drugs, and in particular to the distribution of sensitive drugs.
  • BACKGROUND OF THE INVENTION
  • Sensitive drugs are controlled to minimize risk and ensure that they are not abused, or cause adverse reactions. Such sensitive drugs are approved for specific uses by the Food and Drug Administration, and must be prescribed by a licensed physician in order to be purchased by consumers. Some drugs, such as cocaine and other common street drugs are the object of abuse and illegal schemes to distribute for profit. Some schemes include Dr. shopping, diversion, and pharmacy thefts. A locked cabinet or safe is a requirement for distribution of some drugs.
  • Certain agents, such as gamma hydroxy buterate (GHB) are also abused, yet also are effective for therapeutic purposes such as treatment of daytime cataplexy in patients with narcolepsy. Some patients however, will obtain prescriptions from multiple doctors, and have them filled at different pharmacies. Still further, an unscrupulous physician may actually write multiple prescriptions for a patient, or multiple patients, who use cash to pay for the drugs. These patients will then sell the drug to dealers or others for profit.
  • There is a need for a distribution system and method that directly addresses these abuses. There is a further need for such a system and method that provides education and limits the potential for such abuse.
  • SUMMARY OF THE INVENTION
  • A drug distribution system and method utilizes a central pharmacy and database to track all prescriptions for a sensitive drug. Information is kept in a central database regarding all physicians allowed to prescribe the sensitive drug, and all patients receiving the drug. Abuses are identified by monitoring data in the database for prescription patterns by physicians and prescriptions obtained by patients. Further verification is made that the physician is eligible to prescribe the drug by consulting a separate database for a valid DEA license, and optionally state medical boards to determine whether any corrective or approved disciplinary actions relating to controlled substances have been brought against the physician. Multiple controls beyond those for traditional drugs are imposed on the distribution depending on the sensitivity of the drug.
  • Education is provided to both physician and patient. Prior to shipping the drug for the first time, the patient is contacted to ensure that product and abuse related educational materials have been received and/or read. The patient may provide the name of a designee to the central pharmacy who is authorized to accept shipment of the drug. Receipt of the initial drug shipment is confirmed by contacting the patient. Either a phone call or other communication to the patient within a set time after delivery may be made to ensure receipt. Further, a courier service's tracking system is used to confirm delivery in further embodiments. If a shipment is lost, an investigation is launched to find it.
  • In one embodiment, the drug may be shipped by the central pharmacy to another pharmacy for patient pick-up. The second pharmacy's ability to protect against diversion before shipping the drug must be confirmed. This ability may be checked through NTIS and State Boards of Pharmacy.
  • Prescription refills are permitted in the number specified in the original prescription. In addition, if a prescription refill is requested by the patient prior to the anticipated due date, such refills will be questioned. A lost, stolen, destroyed or spilled prescription/supply is documented and replaced to the extent necessary to honor the prescription, and will also cause a review or full investigation.
  • The exclusive central database contains all relevant data related to distribution of the drug and process of distributing it, including patient, physician and prescription information. Several queries and reports are run against the database to provide information which might reveal potential abuse of the sensitive drug, such as early refills.
  • BRIEF DESCRIPTION OF THE DRAWINGS
  • FIG. 1 is a block diagram of a computer system for use in implementing the system and method of the present invention.
  • FIGS. 2A, 2B and 2C are a flowchart describing a method for sensitive drug distribution at least partially utilizing a computer system such as that shown in FIG. 1.
  • FIG. 3 is a flowchart of a physician success program at least partially implemented on a computer system such as that shown in FIG. 1.
  • FIGS. 4A and 4B are a flowchart describing a method for handling refill requests at least partially utilizing a computer system such as that shown in FIG. 1.
  • FIG. 5 is a flowchart of a process for requesting special reimbursement when a patient is uninsured or underinsured at least partially utilizing a computer system as that shown in FIG. 1.
  • FIG. 6 is a flowchart of a process for inventory control at least partially utilizing a computer system such as that shown in FIG. 1.
  • FIG. 7 is a block diagram of database fields.
  • FIG. 8 is a block diagram showing a list of queries against the database fields.
  • FIG. 9 is a copy of one example prescription and enrollment form.
  • FIG. 10 is a copy of one example of a NORD application request form for patient financial assistance.
  • FIG. 11 is a copy of one example voucher request for medication for use with the NORD application request form of FIG. 10.
  • FIG. 12 is a copy of certificate of medical need.
  • FIGS. 13A, 13B and 13C are descriptions of sample reports obtained by querying a central database having fields represented in FIG. 7.
  • DETAILED DESCRIPTION OF THE INVENTION
  • In the following description, reference is made to the accompanying drawings that form a part hereof, and in which is shown by way of illustration specific embodiments in which the invention may be practiced. These embodiments are described in sufficient detail to enable those skilled in the art to practice the invention, and it is to be understood that other embodiments may be utilized and that structural, logical and electrical changes may be made without departing from the scope of the present invention. The following description is, therefore, not to be taken in a limited sense, and the scope of the present invention is defined by the appended claims.
  • The functions or algorithms described herein are implemented in software or a combination of software and human implemented procedures in one embodiment. The software comprises computer executable instructions stored on computer readable media such as memory or other type of storage devices. The term “computer readable media” is also used to represent carrier waves on which the software is transmitted. Further, such functions correspond to modules, which are software, hardware, firmware of any combination thereof. Multiple functions are performed in one or more modules as desired, and the embodiments described are merely examples. The software is executed on a digital signal processor, ASIC, microprocessor, or other type of processor operating on a computer system, such as a personal computer, server or other computer system.
  • A sensitive drug is one which can be abused, or has addiction properties or other properties that render the drug sensitive. One example of such a drug is sodium oxybate, also known as gamma hydroxy butyrate (GHB C4H7NaO3) which is useful for treatment of cataplexy in patients with narcolepsy. GHB is marketed under the trademark of Xyrem® (sodium oxybate oral solution), which trademark can be used interchangeably with GHB herein. Sensitive drugs also include narcotics or other drugs which require controls on their distribution and use to monitor behaviors to prevent abuse and adverse side effects.
  • In one embodiment, Xyrem® is subject to a restricted distribution program. One aspect of the program is to educate physicians and patients about the risks and benefits of Xyrem, including support via ongoing contact with patients and a toll free helpline. Initial prescriptions are filled only after a prescriber and patient have received and read the educational materials. Further, patient and prescribing physician registries are maintained and monitored to ensure proper distribution.
  • In a further embodiment, bulk sodium oxybate is manufactured at a single site, as is the finished drug product. Following manufacture of the drug product, it is stored at a facility compliant with FDA Schedule III regulations, where a consignment inventory is maintained. The inventory is owned by a company, and is managed by a central pharmacy, which maintains the consignment inventory. Xyrem® is distributed and dispensed through a primary and exclusive central pharmacy, and is not stocked in retail pharmacy outlets. It is distributed by overnight carriers, or by US mail in one embodiment to potentially invoke mail fraud laws if attempts of abuse occur.
  • FIG. 1 is a simplified block diagram of a computer system 100, such as a personal computer for implementing at least a portion of the methods described herein. A central processing unit (CPU) 110 executes computer programs stored on a memory 120. Memory 120 in one embodiment comprises one or more levels of cache as desired to speed execution of the program and access to data on which the programs operate. The CPU is directly coupled to memory 120 in one embodiment. Both CPU 110 and memory 120 are coupled to a bus 130. A storage 140, I/O 150 and communications 160 are also coupled to the bus 130. Storage 140 is usually a long term storage device, such as a disk drive, tape drive, DVD, CD or other type of storage device. In one embodiment, storage 140 is used to house a database for use with the present invention. I/O 150 comprises keyboards, sound devices, displays and other mechanisms by which a user interacts with the computer system 100. Communications 160 comprises a network, phone connection, local area network, wide area network or other mechanism for communicating with external devices. Such external devices comprise servers, other peer computers and other devices. In one embodiment, such external device comprises a database server that is used in place of the database on storage 140. Other computer system architectures capable of executing software and interacting with a database and users may also be used. Appropriate security measures such as encryption are used to ensure confidentiality. Further, data integrity and backup measures are also used to prevent data loss.
  • FIGS. 2A, 2B and 2C represent an initial prescription order entry process for a sensitive drug, such as Xyrem. At 202, a medical doctor (MD) sends a Rx/enrollment form via mail, fax, email or other means to an intake/reimbursement specialist at 204, who makes a copy of the RX/enrollment form that is stamped “copy”. The original fax is forwarded to a pharmacy team. The enrollment form contains prescriber information, prescription information, checkboxes for the prescriber indicating they have read materials, educated the patient, understand the use in treatment, and understand certain safety information, and also contains patient information.
  • The prescriber information contains standard contact information as well as license number, DEA number and physician specialty. Patient and prescription information includes name, social security number, date of birth, gender, contact information, drug identification, patient's appropriate dosage, and number of refills allowed, along with a line for the prescriber's signature. Patient insurance information is also provided.
  • There are two workflows involved at the pharmacy team, intake reimbursement 206 and pharmacy workflow 208, which may proceed in parallel or serially. The intake work flow 206 starts with an intake reimbursement specialist entering the patient and physician information into an application/database referred to as CHIPS, which is used to maintain a record of a client home infusion program (CHIP) for Xyrem®. A check is made to ensure the information is complete at 212. If not, at 214, an intake representative attempts to reach the MD or prescriber to obtain the missing information. If the missing information has not been obtained within a predetermined period of time, such as 24 hours at 216, the Rx/Enrollment form is sent back to the MD with a rejection explanation. A note is entered in CHIPS that the application was rejected.
  • If the information is complete at 212, the MD is contacted at 220 to verify receipt and accuracy of the patient's Rx. This contact is recorded in CHIPS. The intake and reimbursement specialist then sends a consent form and a cover letter to the patient at 224. The insurance provider is contacted at 226 to verify coverage and benefits. At 228, a determination is made regarding coverage for the drug. If it is not available, it is determined at 230 whether the patient is willing and able to pay. If not, a process is performed for handling patients who are uninsured or underinsured. In one embodiment, the process is referred to as a NORD process.
  • If the patient is willing and able to pay at 230, the patient is informed of the cost of the product and is given payment options at 234. At 236, once payment is received, the intake reimbursement specialist submits a coverage approval form with the enrollment form to the pharmacy team as notification to process the patient's prescription. If coverage is approved at 228, the intake reimbursement specialist also submits the coverage approval form with the enrollment form to the pharmacy team as notification to process the patient's prescription. Processing of the prescription is described below.
  • Upon receipt and initial processing of the prescription enrollment form and sending an original to the pharmacy work flow block 208, the patient is shipped a Xyrem® success packet via mail. In one embodiment, the Xyrem® success packet contains educational material for a patient that advises of the proper use, care and handling of the drug and consequences of diversion at 268. The medical doctor's credentials are checked to determine if the physician has a current DEA license to prescribe controlled substances and if he or she has had any actions related to misuse/misprescribing of controlled drugs against him or her, within a predetermined time, such as three months at 270. If they have, a pharmacist holds the prescription until receiving a coverage approval form from the intake reimbursement specialist at 272.
  • If the credentials have not been recently checked, the pharmacist verifies the credentials and enters all findings in the database at 274. If the credentials are approved at 276, the physician is indicated as approved in a physician screen populated by information from the database at 280. The prescription is then held pending coverage approval at 282.
  • If any disciplinary actions are identified, as referenced at block 278, management of the pharmacy is notified and either approves processing of the prescription with continued monitoring of the physician, or processing of the prescription is not performed, and the physician is noted in the database as unapproved at 284. The enrollment form is then mailed back to the physician with a cover letter reiterating that the prescription cannot be processed at 288. The patient is also sent a letter at 290 indicating that the prescription cannot be processed and the patient is instructed to contact their physician.
  • Actual filling of the approved prescription begins with receipt of the coverage approval form as indicated at 240. The patient is contacted by the pharmacy, such as by a technician to complete a technician section of a patient counseling checklist If a pharmacist verifies that the program materials were not read at 242, the receipt of the material is confirmed at 244 and another call is scheduled to counsel the patient before the drug is shipped.
  • If the program materials, were read at 242, the checklist is completed at 246 and the technician transfers the patient to the pharmacist who reviews the entire checklist and completes remaining pharmacist specified sections. At 248, the pharmacists indicates in the database that the patient counseling and checklist was successfully completed, indicating the date completed.
  • At 250, the pharmacist schedules the patient's shipment for the next business day or the next business day that the patient or designee is able to sign for the package. Further, as indicated at 252, the shipment must be sent to the patient's home address unless the patient is traveling or has moved. In that event, the pharmacist may determine that an exception may be made. The patient or the patient's designee who is at least 18 years old, must sign for the package upon delivery.
  • At 254, the pharmacist enters the prescription order in the database, creating an order number. The pharmacist then verifies at 256 the prescription and attaches a verification label to the hard copy prescription. At 258, a pick ticket is generated for the order and the order is forwarded to the pharmacy for fulfillment. The shipment is confirmed in the database at 260, and the order is shipped by USPS Express Mail. Use of the US mail invokes certain criminal penalties for unauthorized diversion. Optionally, other mail services may be used. Potential changes in the law may also bring criminal penalties into play. Following shipment, the patient is called by the central pharmacy to confirm that the prescription was received.
  • As noted at 266, for the sensitive drug, Xyrem, all inventory is cycle counted and reconciled with the database system quantities before shipments for the day are sent. This provides a very precise control of the inventory.
  • A physician success program materials request process begins at 310 in FIG. 3. At 320, the MD calls to the central pharmacy to request program materials. A special phone number is provided. MD demographics, DEA number, and data or request are entered into the database at 330. At 340, a request is made to ship the materials to the MD via a fulfillment website, or other mechanism. The request process ends at 350.
  • A refill request process begins at 302 in FIGS. 4A and 4B. There are two different paths for refills. A first path beginning at 404 involves generating a report from the central database of patients with a predetermined number of days or product remaining. A second path beginning at 406 is followed when a patient calls to request an early refill.
  • In the first path, a copy of the report is provided to an intake reimbursement specialist at 408. No sooner than 8 days before the medication depletion, a pharmacy technician contacts the patient at 410 to complete the pre-delivery checklist At 412, if the patient is not reached, a message is left mentioning the depletion, and a return number at 414. A note is also entered into the database indicating the date the message was left at 416.
  • If the patient is reached at 412, the next shipment is scheduled at 418, the prescription is entered into the database creating an order at 420, the pharmacist verifies the prescription and attaches a verification label at 422 and the shipment is confirmed in the database at 424. Note at 426 that the inventory is cycle counted and reconciled with the database quantities before the shipments for a day or other time period are sent. A pick ticket is generated for the order and the order is forwarded for fulfillment at 428, with the first path ending at 430.
  • The second path, beginning at 406 results in a note code being entered into the database on a patient screen indicating an early refill request at 432. The pharmacist evaluates the patient's compliance with therapy or possible product diversion, misuse or over-use at 436. In one embodiment, cash payers are also identified. The pharmacist then contacts the prescribing physician to alert them of the situation and confirm if the physician approves of the early refill at 438. If the physician does not approve as indicated at 440, the patient must wait until the next scheduled refill date to receive additional product as indicated at 442, and the process ends at 444.
  • If the physician approves at 440, the pharmacist enters a note in the database on a patient screen that the physician approves the request at 446. The pharmacist notifies an intake reimbursement specialist to contact the patient's insurance provider to verify coverage for the early refill at 448. If the insurance provider will pay as determined at 450, the specialist submits the coverage approval form as notification that the refill may be processed at 452. At 454, the pharmacy technician contacts the patient to schedule shipment of the product for the next business day, and the process of filling the order is continued at 456 by following the process beginning at 240.
  • If the insurance provider will not pay at 450, it is determined whether the patient is willing and/or able to pay at 458. If not, the patient must wait until the next scheduled refill date to receive additional product at 460. If it was determined at 458 that the patient was willing and able to pay, the patient is informed of the cost of the product and is given payment options at 462. Once payment is received as indicated at 464, the specialist submits a coverage approval form to the pharmacy team as notification that the refill request can be processed at 466. At 468, the pharmacy technician contacts the patient to schedule shipment. The process of filling the order is continued at 470 by following the process beginning at 240.
  • A process, referred to as a NORD process in one embodiment is used to determine whether donated, third party funds are available for paying for prescriptions where neither insurance will, nor the patient can pay. The process begins at 510 upon determining that a patient is uninsured or underinsured. A reimbursement specialist explains the NORD program to the patient and faxes an application request form to NORD for the patient. At 515, the intake reimbursement specialist documents in the database that an application has been received through NORD. At 520, NORD mails an application to the patient within one business day.
  • A determination is made at 525 by NORD whether the patient is approved. If not, at 530, NORD sends a denial letter to the patient, and it is documented in the database at 540 that the patient was denied by NORD. If the patient is approved, NORD sends an acceptance letter to the patient and faxes a voucher to the central pharmacy (SDS in one embodiment) to indicate the approval at 545. At 550, an intake reimbursement specialist submits a coverage approval form to the pharmacy team as notification that the patient has been approved for coverage. The process of filling the order is continued at 555 by following the process beginning at 240.
  • An inventory control process is illustrated in FIG. 6 beginning at 610. Each week, a responsible person at the central pharmacy, such as the director of the pharmacy transfers inventory for the week's shipments to a segregated warehouse location for production inventory. At 620, a purchase order is generated for the inventory transferred to the production location and is sent, such as by fax, to a controller, such as the controller of the company that obtained approval for distribution and use of the sensitive drug. At 630, the controller invoices the central pharmacy for the product moved to production. The process ends at 640.
  • The central database described above is a relational database running on the system of FIG. 1, or a server based system having a similar architecture coupled to workstations via a network, as represented by communications 160. The database is likely stored in storage 140, and contains multiple fields of information as indicated at 700 in FIG. 7. The organization and groupings of the fields are shown in one format for convenience. It is recognized that many different organizations or schemas may be utilized. In one embodiment, the groups of fields comprise prescriber fields 710, patient fields 720, prescription fields 730 and insurance fields 740. For purposes of illustration, all the entries described with respect to the above processes are included in the fields. In further embodiments, no such groupings are made, and the data is organized in a different manner.
  • Several queries are illustrated at 800 in FIG. 8. There may be many other queries as required by individual state reporting requirements. A first query at 810 is used to identify prescriptions written by physician. The queries may be written in structured query language, natural query languages or in any other manner compatible with the database. A second query 820 is used to pull information from the database related to prescriptions by patient name. A third query 830 is used to determine prescriptions by frequency, and a nth query finds prescriptions by dose at 840. Using query languages combined with the depth of data in the central database allows many other methods of investigating for potential abuse of the drugs. The central database ensures that all prescriptions, prescribers and patients are tracked and subject to such investigations. In further embodiments, the central database may be distributed among multiple computers provided a query operates over all data relating to such prescriptions, prescribers and patients for the drug.
  • An example of one prescription and enrollment form is shown at 900 in FIG. 9. As previously indicated, several fields are included for prescriber information, prescription information and patient information.
  • FIG. 10 is a copy of one example NORD application request form 1000 used to request that an application be sent to a patient for financial assistance.
  • FIG. 11 is a copy of one example application 1100 for financial assistance as requested by form 1000. The form requires both patient and physician information. Social security number information is also requested. The form provides information for approving the financial assistance and for tracking assistance provided.
  • FIG. 12 is a copy of one example voucher request for medication for use with the NORD application request form of FIG. 10. In addition to patient and physician information, prescription information and diagnosis information is also provided.
  • FIGS. 13A, 13B and 13C are descriptions of sample reports obtained by querying a central database having fields represented in FIG. 7. The activities grouped by sales, regulatory, quality assurance, call center, pharmacy, inventory, reimbursement, patient care and drug information. Each report has an associated frequency or frequencies. The reports are obtained by running queries against the database, with the queries written in one of many query languages.
  • While the invention has been described with respect to a Schedule III drug, it is useful for other sensitive drugs that are DEA or Federally scheduled drugs in Schedule II-V, as well as still other sensitive drugs where multiple controls are desired for distribution and use.

Claims (56)

1. A method of treatment of a narcoleptic patient with a prescription drug that has the potential for misuse, abuse or diversion, comprising:
receiving into a single computer database all prescriptions for the prescription drug with the potential for abuse, misuse or diversion, wherein the prescription drug is distributed by a company that obtained approval for distribution of the prescription drug;
entering into the single database information identifying the narcoleptic patient and a prescriber, and entering into the single database information relating to the company's prescription drug;
entering information into the single database relating to abuse, misuse, or diversion of the company's prescription drug;
processing all prescriptions for the company's prescription drug using the single computer database to control the distribution of the company's prescription drug by tracking prescriptions and identifying patterns of abuse, misuse, or diversion;
providing the company's prescription drug to the narcoleptic patient in order to treat the narcoleptic patient with the company's prescription drug;
and selecting two or more controls from the group consisting of:
identifying the prescriber's name, license, and Drug Enforcement Agency (DEA) registration information; verifying the prescription; obtaining patient information; verifying that a physician or other prescriber is eligible to prescribe the company's prescription drug by consulting the National Technical Information Services to determine whether the physician or other prescriber has an active DEA number and to check on whether any actions are pending against the physician or other prescriber; contacting the narcoleptic patient's insurance company; verifying patient registry information; providing educational information to the narcoleptic patient concerning the use of or risks associated with the company's prescription drug; verifying that the narcoleptic patient has received or read the educational materials concerning the company's prescription drug; verifying the home address of the narcoleptic patient; shipping the company's prescription drug via US Postal Service or other commercial shipping service; receiving the name of at least one 18-year-old designee to receive the company's prescription drug; confirming receipt of an initial shipment of the company's prescription drug to the narcoleptic patient; returning the company's prescription drug to a pharmacy after two attempts to deliver have failed; launching an investigation when a shipment is lost; shipping the company's prescription drug to a pharmacy for delivery to or pick-up by the narcoleptic patient; inquiring about the reason for requested early refills of the company's prescription drug; flagging repeat instances of lost, stolen, destroyed, or spilled prescriptions; limiting the prescription of the company's prescription drug to a one-month supply; requiring rewriting of the prescription periodically; and making the database available to the DEA for checking for abuse, misuse, or diversion patterns in the data;
authorizing the filling, using the single computer database, of a prescription for the company's prescription drug that has been subjected to the two or more controls and has been approved for shipment to the narcoleptic patient; and
noting, based on the analysis of potential abuse, misuse, or diversion of the company's prescription drug, that there is a potential for abuse, misuse, or diversion by the narcoleptic patient to whom the company's prescription drug is prescribed;
wherein the prescription drug that has the potential for misuse, abuse or diversion is a gamma hydroxy butyrate (GHB) drug product;
wherein said GHB drug product treats cataplexy in said narcoleptic patient.
2. A method of treatment of a narcoleptic patient with a prescription drug that has a potential for misuse, abuse or diversion, comprising:
receiving into a single computer database all prescriptions for the prescription drug with the potential for abuse, misuse or diversion, wherein the prescription drug is sold or distributed by a company that obtained approval for distribution of the prescription drug;
entering into the single computer database information sufficient to identify the narcoleptic patient for whom the company's prescription drug is prescribed;
entering into the single computer database information sufficient to identify a physician or other prescriber of the company's prescription drug and information to show that the physician or other prescriber is authorized to prescribe the company's prescription drug;
entering and maintaining in the single computer database information that indicates that the narcoleptic patient or prescriber has abused, misused, or diverted the company's prescription drug; and
using the single computer database to authorize filling of the prescriptions for the company's prescription drug only if there is no record of incidents that indicate abuse, misuse, or diversion by the narcoleptic patient or prescriber, or if there is a record of such incidents, the single computer database indicates that such incidents have been investigated, and the single computer database indicates that such incidents do not involve abuse, misuse or diversion.
3. The method of claim 2, comprising delivering the prescription drug to the narcoleptic patient in order to treat the narcoleptic patient with the prescription drug.
4. The method of claim 2, wherein an exclusive central pharmacy controls the single computer database.
5. The method of claim 2, comprising selectively blocking shipment of the prescription drug to a narcoleptic patient.
6. The method of claim 2, wherein an abuse pattern is associated with a narcoleptic patient, and shipment of the prescription drug is blocked based upon such association.
7. The method of claim 2, wherein the prescription drug comprises a gamma hydroxy butyrate (GHB) drug product.
8. The method of claim 7, wherein said GHB drug product treats cataplexy in said narcoleptic patient.
9. A method of treatment of a narcoleptic patient with a prescription drug that has a potential for misuse, abuse or diversion, comprising:
receiving into a single computer database all prescriptions for the prescription drug that has the potential for abuse, misuse or diversion;
entering into the single computer database information sufficient to identify the narcoleptic patient for whom the prescription drug is prescribed;
entering into the single computer database information sufficient to identify a physician or other prescriber of the prescription drug and information to show that the physician or other prescriber is authorized to prescribe the prescription drug;
entering and maintaining in the single computer database information that indicates that the narcoleptic patient or prescriber has abused, misused, or diverted the prescription drug;
using the single computer database to authorize filling of the prescriptions for the prescription drug only if there is no record of incidents that indicate abuse, misuse, or diversion by the narcoleptic patient or prescriber, or if there is a record of such incidents, the single computer database indicates that such incidents have been investigated, and the single computer database indicates that such incidents do not involve abuse, misuse or diversion; and
distributing the prescription drug by a company that obtained approval for distribution of the prescription drug.
10. The method of claim 9, comprising delivering the prescription drug to the narcoleptic patient in order to treat the narcoleptic patient with the prescription drug.
11. The method of claim 9, wherein an exclusive central pharmacy controls the single computer database.
12. The method of claim 9, comprising selectively blocking shipment of the prescription drug to the narcoleptic patient.
13. The method of claim 9, wherein an abuse pattern is associated with the patient, and shipment of the prescription drug is blocked based upon such association.
14. The method of claim 9, wherein the prescription drug comprises a gamma hydroxy butyrate (GHB) drug product.
15. The method of claim 14, wherein said GHB drug product treats cataplexy in said narcoleptic patient.
16. A method of treatment of a narcoleptic patient with a gamma hydroxy butyrate (GHB) drug product while controlling potential misuse, abuse or diversion of said GHB drug product, comprising:
controlling with a computer processor the distribution of the GHB drug product, the GHB drug product sold or distributed by a company that obtained approval for distribution of the GHB drug product, the distribution implemented via an exclusive central pharmacy that maintains an exclusive central database that tracks all prescriptions of the company's GHB drug product and that analyzes for potential abuse situations;
receiving in the computer processor all prescription requests, for any and all narcoleptic patients being prescribed the company's GHB drug product, only at the exclusive central pharmacy, from any and all medical doctors allowed to prescribe the company's GHB drug product;
processing in the computer processor all prescriptions for the company's GHB drug product only by the exclusive central pharmacy using only the exclusive central database;
determining with the computer processor current and anticipated patterns of potential prescription abuse of the company's GHB drug product from periodic reports generated only by the exclusive central database, based on prescription request data from a particular medical doctor and based on filling of prescriptions by a particular narcoleptic patient, wherein the request data contain information identifying the narcoleptic patient, GHB as the drug prescribed, and credentials of the medical doctor; and
selecting with the computer processor multiple controls for distribution by the exclusive central pharmacy, the controls selected from the group consisting of communicating prescriptions from the medical doctor to the exclusive central pharmacy; identifying the medical doctor's name, license, and DEA (Drug Enforcement Agency) registration information; verifying the prescription; obtaining patient information; verifying the medical doctor is eligible to prescribe the company's GHB drug product by consulting the National Technical Information Services to determine whether the medical doctor has an active DEA number and to check on whether any actions are pending against the medical doctor; providing comprehensive printed materials to the medical doctor; contacting the narcoleptic patient's insurance company; verifying patient registry information; providing comprehensive educational information to the narcoleptic patient; verifying the narcoleptic patient has reviewed the educational materials; verifying the home address of the narcoleptic patient; shipping the GHB drug product via US postal service or a commercial shipping service; receiving the name of an at least 18 year old designee to receive the GHB drug product; confirming receipt of an initial shipment of the GHB drug product to the narcoleptic patient; returning the GHB drug product to the pharmacy after two attempts to deliver; launching an investigation when a shipment is lost; shipping to another pharmacy for delivery; requiring manufacture at a single location; releasing inventory in a controlled manner to the exclusive central pharmacy; questioning early refills; flagging repeat instances of lost, stolen, destroyed, or spilled prescriptions; limiting the prescription to a one month supply; requiring rewriting of the prescription periodically; and making the database available to the DEA for checking for abuse patterns in the data, for cash payments, and for inappropriate questions.
17. The method of claim 16, comprising consulting a separate database to verify that the medical doctor is eligible to prescribe the GHB drug product.
18. The method of claim 16, comprising delivering the GHB drug product to the narcoleptic patient in order to treat the narcoleptic patient with the GHB drug product.
19. The method of claim 16, wherein the exclusive central pharmacy controls the exclusive computer database.
20. The method of claim 16, comprising selectively blocking shipment of the GHB drug product to the narcoleptic patient.
21. The method of claim 16, wherein an abuse pattern is associated with the narcoleptic patient, and shipment of the GHB drug product is blocked based upon such association.
22. A method of treatment of a narcoleptic patient with a prescription drug while controlling potential misuse, abuse or diversion of said prescription drug, comprising:
receiving in a computer processor all prescription requests, for any and all narcoleptic patients being prescribed the prescription drug, wherein the prescription drug is distributed by a company that obtained approval for distribution of the prescription drug, only at the exclusive central pharmacy from any and all medical doctors allowed to prescribe the company's prescription drug, the prescription requests containing information identifying narcoleptic patients, the prescription drug, and various credentials of the any and all medical doctors;
requiring entering of the information into an exclusive computer database associated with the exclusive central pharmacy for analysis of potential abuse situations, wherein the exclusive central pharmacy and the exclusive central database are unique in that they are the only pharmacy and database in existence for the company's prescription drug, and such that all prescriptions for the company's prescription drug are processed only by the exclusive central pharmacy using only the exclusive computer database;
checking with the computer processor the credentials of the any and all doctors to determine the eligibility of the doctors to prescribe the company's prescription drug;
confirming with a narcoleptic patient that educational material has been read prior to shipping the company's prescription drug;
checking the exclusive computer database for potential abuse of the company's prescription drug, wherein the uniqueness of the exclusive central pharmacy and the exclusive central database facilitates a determination of the potential abuse of the company's prescription drug;
providing the company's prescription drug to the narcoleptic patient only if no potential abuse is found by the narcoleptic patient to whom the company's prescription drug is prescribed and the doctor prescribing the company's prescription drug;
confirming receipt by the narcoleptic patient of the company's prescription drug; and
generating with the computer processor periodic reports via the exclusive computer database to evaluate potential diversion patterns.
23. The method of claim 22, wherein one or more of the exclusive central pharmacy and the exclusive central database are distributed over multiple computers, and wherein a query operates over all data in all the distributed databases relating to the prescriptions, the doctors, and the narcoleptic patients.
24. The method of claim 22, wherein the providing the company's prescription drug to the narcoleptic patient comprises the exclusive central pharmacy authorizing the company's prescription drug to be dispensed to the narcoleptic patient by another pharmacy.
25. The method of claim 22, comprising delivering the company's prescription drug to the narcoleptic patient in order to treat the narcoleptic patient with the company's prescription drug.
26. The method of claim 22, wherein the exclusive central pharmacy controls the exclusive computer database.
27. The method of claim 22, comprising selectively blocking shipment of the company's prescription drug to the narcoleptic patient.
28. The method of claim 22, wherein an abuse pattern is associated with the narcoleptic patient, and shipment of the company's prescription drug is blocked based upon such association.
29. The computerized method of claim 22, wherein the company's prescription drug comprises a gamma hydroxy butyrate (GHB) drug product.
30. A method of treatment of a narcoleptic patient with a prescription drug that has the potential for misuse, abuse or diversion, comprising:
receiving into a single computer database all prescriptions for a prescription drug with the potential for abuse, misuse or diversion sold or distributed under a single trademark;
entering into the single database, information identifying the narcoleptic patient, the prescriber; and the trademarked prescription drug;
entering information into the single database relating to or indicating abuse, misuse, or diversion of said prescription drug;
processing all prescriptions for said prescription drug using the single computer database to control the distribution of said prescription drug by tracking prescriptions and identifying patterns of abuse, misuse, or diversion;
providing said prescription drug to the narcoleptic patient in order to treat the narcoleptic patient with the prescription drug;
and selecting two or more controls from the group comprising:
identifying a prescriber's name, license, and Drug Enforcement Agency (DEA) registration information; verifying the prescription; obtaining patient information; verifying that the physician or other prescriber is eligible to prescribe said prescription drug by consulting the National Technical Information Services to determine whether the physician or other prescriber has an active DEA number and to check on whether any actions are pending against the physician or other prescriber; contacting the narcoleptic patient's insurance company if any; verifying patient registry information; providing education information to the narcoleptic patient concerning the use of or risks associated with said prescription drug; verifying that the narcoleptic patient has received or read the educational materials concerning said prescription drug; verifying the home address of the narcoleptic patient; shipping said prescription drug via US Postal Service or other commercial shipping service; receiving the name of at least one 18-year-old designee to receive said prescription drug; confirming receipt of an initial shipment of said prescription drug to the narcoleptic patient; returning said prescription drug to a pharmacy after two attempts to deliver have failed; launching an investigation when a shipment is lost; shipping said prescription drug to a pharmacy for delivery to or pick-up by the narcoleptic patient; requiring manufacture of said prescription drug at a single location; inquiring about the reason for requested early refills of said prescription drug; flagging repeat instances of lost, stolen, destroyed, or spilled prescriptions; limiting the prescription of said prescription drug to a one-month supply; requiring rewriting of the prescription periodically; making the database available to the DEA for checking for abuse, misuse, or diversion patterns in the data; authorizing the filling, using the single computer database, of a prescription for said prescription drug that has been subjected to two or more controls and has been approved for shipment to the narcoleptic patient; noting based on one or more of the analysis of potential abuse, misuse, or diversion of the prescription drug, that there is a potential for abuse, misuse, or diversion by a narcoleptic patient to whom the prescription drug is prescribed;
wherein the prescription drug that has the potential for misuse, abuse or diversion is a gamma hydroxy butyrate (GHB) drug product;
wherein said GHB drug product treats cataplexy in said narcoleptic patient.
31. A method of treatment of a narcoleptic patient with a prescription drug that has the potential for misuse, abuse or diversion, comprising:
receiving into a single computer database all prescriptions for a prescription drug that has the potential for abuse, misuse or diversion which has been manufactured at a single manufacturing site;
entering into the single database, information identifying the narcoleptic patient, the prescriber; and the trademarked prescription drug;
entering information into the single database relating to or indicating abuse, misuse, or diversion of said prescription drug;
processing all prescriptions for said prescription drug using the single computer database to control the distribution of said prescription drug by tracking prescriptions and identifying patterns of abuse, misuse, or diversion;
providing said prescription drug to the narcoleptic patient in order to treat the narcoleptic patient with the prescription drug;
and selecting two or more controls from the group comprising:
identifying a prescriber's name, license, and Drug Enforcement Agency (DEA) registration information; verifying the prescription; obtaining patient information; verifying that the physician or other prescriber is eligible to prescribe said prescription drug by consulting the National Technical Information Services to determine whether the physician or other prescriber has an active DEA number and to check on whether any actions are pending against the physician or other prescriber; contacting the narcoleptic patient's insurance company if any; verifying patient registry information; providing education information to the narcoleptic patient concerning the use of or risks associated with said prescription drug; verifying that the narcoleptic patient has received or read the educational materials concerning said prescription drug; verifying the home address of the narcoleptic patient;
shipping said prescription drug via US Postal Service or other commercial shipping service; receiving the name of at least one 18-year-old designee to receive said prescription drug; confirming receipt of an initial shipment of said prescription drug to the narcoleptic patient; returning said prescription drug to a pharmacy after two attempts to deliver have failed; launching an investigation when a shipment is lost; shipping said prescription drug to a pharmacy for delivery to or pick-up by the narcoleptic patient; requiring manufacture of said prescription drug at a single location; inquiring about the reason for requested early refills of said prescription drug; flagging repeat instances of lost, stolen, destroyed, or spilled prescriptions; limiting the prescription of said prescription drug to a one-month supply; requiring rewriting of the prescription periodically; making the database available to the DEA for checking for abuse, misuse, or diversion patterns in the data;
authorizing the filling, using the single computer database, of a prescription for said prescription drug that has been subjected to two or more controls and has been approved for shipment to the narcoleptic patient; noting based on one or more of the analysis of potential abuse, misuse, or diversion of the prescription drug, that there is a potential for abuse, misuse, or diversion by a narcoleptic patient to whom the prescription drug is prescribed.
32. A method of treatment of a narcoleptic patient with a prescription drug that has the potential for misuse, abuse or diversion, comprising: receiving into a single computer database all prescriptions for a prescription drug with the potential for abuse, misuse or diversion sold or distributed under a single trademark;
entering into the single database information sufficient to identify the narcoleptic patient for whom said prescription drug was prescribed;
entering into the single database information sufficient to identify the physician or other prescriber of said prescription drug and information to show that the physician or other prescriber was authorized to prescribe said prescription drug;
entering and maintaining in the single database information which may suggest that the narcoleptic patient or prescriber has abused, misused, or diverted said prescription drug;
using the single computer database to authorize filling of the prescriptions for said prescription drug only if there is no record of incidents that may suggest abuse, misuse, or diversion by the narcoleptic patient or prescriber or if any such incidents have been investigated and found not to involve abuse, misuse or diversion.
33. A method of treatment of a narcoleptic patient with a prescription drug that has the potential for misuse, abuse or diversion, comprising:
receiving into a single computer database all prescriptions for a prescription drug that has been manufactured at a single manufacturing site with the potential for abuse, misuse or diversion;
entering into the single database information sufficient to identify the narcoleptic patient for whom said prescription drug was prescribed, entering into the single database information sufficient to identify the physician or other prescriber of said prescription drug and information to show that the physician or other prescriber was authorized to prescribe said prescription drug;
entering and maintaining in the single database information which may suggest that the narcoleptic patient or prescriber has abused, misused, or diverted said prescription drug;
using the single computer database to authorize filling of the prescription for said prescription drug only if there is no record of incidents that may suggest abuse, misuse, or diversion by the narcoleptic patient or prescriber or if any such incidents have been investigated and found not to involve abuse, misuse or diversion; providing said prescription drug to the narcoleptic patient in order to treat the narcoleptic patient with the prescription drug;
wherein the prescription drug that has the potential for misuse, abuse or diversion is a gamma hydroxybutyrate (GHB) drug product;
wherein said GHB drug product treats cataplexy in said narcoleptic patient.
34. A method of treatment of a narcoleptic patient with a prescription drug that has the potential for misuse, abuse or diversion, comprising:
receiving into a single computer database all prescriptions for the prescription drug with the potential for abuse, misuse or diversion, wherein the prescription drug inventory is owned by a company and is managed thorough said single computer database;
entering into the single database information identifying the narcoleptic patient and a prescriber, and entering into the single database information relating to the company's prescription drug;
entering information into the single database relating to abuse, misuse, or diversion of the company's prescription drug;
processing all prescriptions for the company's prescription drug using the single computer database to control the distribution of the company's prescription drug by tracking prescriptions and identifying patterns of abuse, misuse, or diversion;
providing the company's prescription drug to the narcoleptic patient in order to treat the narcoleptic patient with the company's prescription drug;
and selecting two or more controls from the group consisting of:
identifying the prescriber's name, license, and Drug Enforcement Agency (DEA) registration information; verifying the prescription; obtaining patient information; verifying that a physician or other prescriber is eligible to prescribe the company's prescription drug by consulting the National Technical Information Services to determine whether the physician or other prescriber has an active DEA number and to check on whether any actions are pending against the physician or other prescriber; contacting the narcoleptic patient's insurance company; verifying patient registry information; providing educational information to the narcoleptic patient concerning the use of or risks associated with the company's prescription drug; verifying that the narcoleptic patient has received or read the educational materials concerning the company's prescription drug; verifying the home address of the narcoleptic patient; shipping the company's prescription drug via US Postal Service or other commercial shipping service; receiving the name of at least one 18-year-old designee to receive the company's prescription drug; confirming receipt of an initial shipment of the company's prescription drug to the narcoleptic patient; returning the company's prescription drug to a pharmacy after two attempts to deliver have failed; launching an investigation when a shipment is lost; shipping the company's prescription drug to a pharmacy for delivery to or pick-up by the narcoleptic patient; inquiring about the reason for requested early refills of the company's prescription drug; flagging repeat instances of lost, stolen, destroyed, or spilled prescriptions; limiting the prescription of the company's prescription drug to a one-month supply; requiring rewriting of the prescription periodically; and making the database available to the DEA for checking for abuse, misuse, or diversion patterns in the data;
authorizing the filling, using the single computer database, of a prescription for the company's prescription drug that has been subjected to the two or more controls and has been approved for shipment to the narcoleptic patient; and
noting, based on the analysis of potential abuse, misuse, or diversion of the company's prescription drug, that there is a potential for abuse, misuse, or diversion by the narcoleptic patient to whom the company's prescription drug is prescribed
wherein the prescription drug that has the potential for misuse, abuse or diversion is a gamma hydroxybutyrate (GHB) drug product;
wherein said GHB drug product treats cataplexy in said narcoleptic patient.
35. A method of treatment of a narcoleptic patient with a prescription drug that has a potential for misuse, abuse or diversion, comprising:
receiving into a single computer database all prescriptions for the prescription drug with the potential for abuse, misuse or diversion, wherein the prescription drug inventory is owned by a company and is managed thorough said single computer database;
entering into the single computer database information sufficient to identify the narcoleptic patient for whom the company's prescription drug is prescribed;
entering into the single computer database information sufficient to identify a physician or other prescriber of the company's prescription drug and information to show that the physician or other prescriber is authorized to prescribe the company's prescription drug;
entering and maintaining in the single computer database information that indicates that the narcoleptic patient or prescriber has abused, misused, or diverted the company's prescription drug; and
using the single computer database to authorize filling of the prescriptions for the company's prescription drug only if there is no record of incidents that indicate abuse, misuse, or diversion by the narcoleptic patient or prescriber, or if there is a record of such incidents, the single computer database indicates that such incidents have been investigated, and the single computer database indicates that such incidents do not involve abuse, misuse or diversion.
36. The method of claim 33, comprising delivering the prescription drug to the narcoleptic patient in order to treat the narcoleptic patient with the prescription drug.
37. The method of claim 35, wherein an exclusive central pharmacy controls the single computer database.
38. The method of claim 35, comprising selectively blocking shipment of the prescription drug to a narcoleptic patient.
39. The method of claim 35, wherein an abuse pattern is associated with a narcoleptic patient, and shipment of the prescription drug is blocked based upon such association.
40. The method of claim 35, wherein the prescription drug comprises a gamma hydroxy butyrate (GHB) drug product.
41. The method of claim 40, wherein said GHB drug product treats cataplexy in said narcoleptic patient.
42. A method of treatment of a narcoleptic patient with a gamma hydroxy butyrate (GHB) drug product while controlling potential misuse, abuse or diversion of said GHB drug product, comprising:
controlling with a computer processor the distribution of the GHB drug product, wherein the GHB drug product inventory is owned by a company and the distribution is implemented via an exclusive central pharmacy that maintains an exclusive central database that tracks all prescriptions of the company's GHB drug product and that analyzes for potential abuse situations;
receiving in the computer processor all prescription requests, for any and all narcoleptic patients being prescribed the company's GHB drug product, only at the exclusive central pharmacy, from any and all medical doctors allowed to prescribe the company's GHB drug product;
processing in the computer processor all prescriptions for the company's GHB drug product only by the exclusive central pharmacy using only the exclusive central database;
determining with the computer processor current and anticipated patterns of potential prescription abuse of the company's GHB drug product from periodic reports generated only by the exclusive central database, based on prescription request data from a particular medical doctor and based on filling of prescriptions by a particular narcoleptic patient, wherein the request data contain information identifying the narcoleptic patient, GHB as the drug prescribed, and credentials of the medical doctor; and
selecting with the computer processor multiple controls for distribution by the exclusive central pharmacy, the controls selected from the group consisting of communicating prescriptions from the medical doctor to the exclusive central pharmacy; identifying the medical doctor's name, license, and DEA (Drug Enforcement Agency) registration information;
verifying the prescription; obtaining patient information; verifying the medical doctor is eligible to prescribe the company's GHB drug product by consulting the National Technical Information Services to determine whether the medical doctor has an active DEA number and to check on whether any actions are pending against the medical doctor; providing comprehensive printed materials to the medical doctor; contacting the narcoleptic patient's insurance company; verifying patient registry information; providing comprehensive educational information to the narcoleptic patient; verifying the narcoleptic patient has reviewed the educational materials; verifying the home address of the narcoleptic patient; shipping the GHB drug product via US postal service or a commercial shipping service; receiving the name of an at least 18 year old designee to receive the GHB drug product; confirming receipt of an initial shipment of the GHB drug product to the narcoleptic patient; returning the GHB drug product to the pharmacy after two attempts to deliver; launching an investigation when a shipment is lost; shipping to another pharmacy for delivery; requiring manufacture at a single location; releasing inventory in a controlled manner to the exclusive central pharmacy; questioning early refills; flagging repeat instances of lost, stolen, destroyed, or spilled prescriptions; limiting the prescription to a one month supply; requiring rewriting of the prescription periodically; and making the database available to the DEA for checking for abuse patterns in the data, for cash payments, and for inappropriate questions.
43. The method of claim 42, comprising consulting a separate database to verify that the medical doctor is eligible to prescribe the GHB drug product.
44. The method of claim 42, comprising delivering the GHB drug product to the narcoleptic patient in order to treat cataplexy in the narcoleptic patient with the GHB drug product.
45. The method of claim 42, wherein the exclusive central pharmacy controls the exclusive computer database.
46. The method of claim 42, comprising selectively blocking shipment of the GHB drug product to the narcoleptic patient.
47. The method of claim 42, wherein an abuse pattern is associated with the narcoleptic patient, and shipment of the GHB drug product is blocked based upon such association.
48. A method of treatment of a narcoleptic patient with a prescription drug while controlling potential misuse, abuse or diversion of said prescription drug, comprising:
receiving in a computer processor all prescription requests, for any and all narcoleptic patients being prescribed the prescription drug, wherein the prescription drug inventory is owned by a company, only at the exclusive central pharmacy from any and all medical doctors allowed to prescribe the company's prescription drug, the prescription requests containing information identifying narcoleptic patients, the prescription drug, and various credentials of the any and all medical doctors;
requiring entering of the information into an exclusive computer database associated with the exclusive central pharmacy for analysis of potential abuse situations, wherein the exclusive central pharmacy and the exclusive central database are unique in that they are the only pharmacy and database in existence for the company's prescription drug, and such that all prescriptions for the company's prescription drug are processed only by the exclusive central pharmacy using only the exclusive computer database;
checking with the computer processor the credentials of the any and all doctors to determine the eligibility of the doctors to prescribe the company's prescription drug;
confirming with a narcoleptic patient that educational material has been read prior to shipping the company's prescription drug;
checking the exclusive computer database for potential abuse of the company's prescription drug, wherein the uniqueness of the exclusive central pharmacy and the exclusive central database facilitates a determination of the potential abuse of the company's prescription drug;
providing the company's prescription drug to the narcoleptic patient only if no potential abuse is found by the narcoleptic patient to whom the company's prescription drug is prescribed and the doctor prescribing the company's prescription drug;
confirming receipt by the narcoleptic patient of the company's prescription drug; and
generating with the computer processor periodic reports via the exclusive computer database to evaluate potential diversion patterns.
49. The method of claim 48, wherein one or more of the exclusive central pharmacy and the exclusive central database are distributed over multiple computers, and wherein a query operates over all data in all the distributed databases relating to the prescriptions, the doctors, and the narcoleptic patients.
50. The method of claim 48, wherein the providing the company's prescription drug to the narcoleptic patient comprises the exclusive central pharmacy authorizing the company's prescription drug to be dispensed to the narcoleptic patient by another pharmacy.
51. The method of claim 48, comprising delivering the company's prescription drug to the narcoleptic patient in order to treat the narcoleptic patient with the company's prescription drug.
52. The method of claim 48, wherein the exclusive central pharmacy controls the exclusive computer database.
53. The method of claim 46, comprising selectively blocking shipment of the company's prescription drug to the narcoleptic patient.
54. The method of claim 48, wherein an abuse pattern is associated with the narcoleptic patient, and shipment of the company's prescription drug is blocked based upon such association.
55. The method of claim 48, wherein the company's prescription drug comprises a gamma hydroxy butyrate (GHB) drug product.
56. The method of claim 53, wherein said GHB drug product treats cataplexy in said narcoleptic patient.
US13/013,680 2002-12-17 2011-01-25 Sensitive drug distribution system and method Abandoned US20110119085A1 (en)

Priority Applications (10)

Application Number Priority Date Filing Date Title
US13/013,680 US20110119085A1 (en) 2002-12-17 2011-01-25 Sensitive drug distribution system and method
US13/453,915 US20120209623A1 (en) 2002-12-17 2012-04-23 Sensitive drug distribution system and method
US13/592,202 US8731963B1 (en) 2002-12-17 2012-08-22 Sensitive drug distribution system and method
US13/595,757 US8457988B1 (en) 2002-12-17 2012-08-27 Sensitive drug distribution system and method
US13/595,676 US8589182B1 (en) 2002-12-17 2012-08-27 Sensitive drug distribution system and method
US14/196,603 US20140188504A1 (en) 2002-12-17 2014-03-04 Sensitive drug distribution system and method
US14/219,904 US20140207480A1 (en) 2002-12-17 2014-03-19 Sensitive drug distribution system and method
US14/219,941 US20140207481A1 (en) 2002-12-17 2014-03-19 Sensitive drug distribution system and method
US15/014,831 US20160154947A1 (en) 2002-12-17 2016-02-03 Sensitive drug distribution system and method
US15/057,898 US20160180058A1 (en) 2002-12-17 2016-03-01 Sensitive drug distribution system and method

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
US10/322,348 US7668730B2 (en) 2002-12-17 2002-12-17 Sensitive drug distribution system and method
US12/704,097 US7895059B2 (en) 2002-12-17 2010-02-11 Sensitive drug distribution system and method
US13/013,680 US20110119085A1 (en) 2002-12-17 2011-01-25 Sensitive drug distribution system and method

Related Parent Applications (1)

Application Number Title Priority Date Filing Date
US12/704,097 Continuation US7895059B2 (en) 2002-12-17 2010-02-11 Sensitive drug distribution system and method

Related Child Applications (4)

Application Number Title Priority Date Filing Date
US13/453,915 Continuation US20120209623A1 (en) 2002-12-17 2012-04-23 Sensitive drug distribution system and method
US13/592,202 Continuation US8731963B1 (en) 2002-12-17 2012-08-22 Sensitive drug distribution system and method
US13/595,757 Division US8457988B1 (en) 2002-12-17 2012-08-27 Sensitive drug distribution system and method
US13/595,676 Continuation US8589182B1 (en) 2002-12-17 2012-08-27 Sensitive drug distribution system and method

Publications (1)

Publication Number Publication Date
US20110119085A1 true US20110119085A1 (en) 2011-05-19

Family

ID=32507272

Family Applications (15)

Application Number Title Priority Date Filing Date
US10/322,348 Expired - Fee Related US7668730B2 (en) 2002-12-17 2002-12-17 Sensitive drug distribution system and method
US10/979,665 Expired - Fee Related US7765106B2 (en) 2002-12-17 2004-11-02 Sensitive drug distribution system and method
US11/097,651 Active 2026-07-19 US7797171B2 (en) 2002-12-17 2005-04-01 Sensitive drug distribution system and method
US11/097,985 Expired - Fee Related US7765107B2 (en) 2002-12-17 2005-04-01 Sensitive drug distribution system and method
US12/704,097 Expired - Fee Related US7895059B2 (en) 2002-12-17 2010-02-11 Sensitive drug distribution system and method
US13/013,680 Abandoned US20110119085A1 (en) 2002-12-17 2011-01-25 Sensitive drug distribution system and method
US13/453,915 Abandoned US20120209623A1 (en) 2002-12-17 2012-04-23 Sensitive drug distribution system and method
US13/592,202 Expired - Lifetime US8731963B1 (en) 2002-12-17 2012-08-22 Sensitive drug distribution system and method
US13/595,676 Expired - Fee Related US8589182B1 (en) 2002-12-17 2012-08-27 Sensitive drug distribution system and method
US13/595,757 Expired - Lifetime US8457988B1 (en) 2002-12-17 2012-08-27 Sensitive drug distribution system and method
US14/196,603 Abandoned US20140188504A1 (en) 2002-12-17 2014-03-04 Sensitive drug distribution system and method
US14/219,941 Abandoned US20140207481A1 (en) 2002-12-17 2014-03-19 Sensitive drug distribution system and method
US14/219,904 Abandoned US20140207480A1 (en) 2002-12-17 2014-03-19 Sensitive drug distribution system and method
US15/014,831 Abandoned US20160154947A1 (en) 2002-12-17 2016-02-03 Sensitive drug distribution system and method
US15/057,898 Abandoned US20160180058A1 (en) 2002-12-17 2016-03-01 Sensitive drug distribution system and method

Family Applications Before (5)

Application Number Title Priority Date Filing Date
US10/322,348 Expired - Fee Related US7668730B2 (en) 2002-12-17 2002-12-17 Sensitive drug distribution system and method
US10/979,665 Expired - Fee Related US7765106B2 (en) 2002-12-17 2004-11-02 Sensitive drug distribution system and method
US11/097,651 Active 2026-07-19 US7797171B2 (en) 2002-12-17 2005-04-01 Sensitive drug distribution system and method
US11/097,985 Expired - Fee Related US7765107B2 (en) 2002-12-17 2005-04-01 Sensitive drug distribution system and method
US12/704,097 Expired - Fee Related US7895059B2 (en) 2002-12-17 2010-02-11 Sensitive drug distribution system and method

Family Applications After (9)

Application Number Title Priority Date Filing Date
US13/453,915 Abandoned US20120209623A1 (en) 2002-12-17 2012-04-23 Sensitive drug distribution system and method
US13/592,202 Expired - Lifetime US8731963B1 (en) 2002-12-17 2012-08-22 Sensitive drug distribution system and method
US13/595,676 Expired - Fee Related US8589182B1 (en) 2002-12-17 2012-08-27 Sensitive drug distribution system and method
US13/595,757 Expired - Lifetime US8457988B1 (en) 2002-12-17 2012-08-27 Sensitive drug distribution system and method
US14/196,603 Abandoned US20140188504A1 (en) 2002-12-17 2014-03-04 Sensitive drug distribution system and method
US14/219,941 Abandoned US20140207481A1 (en) 2002-12-17 2014-03-19 Sensitive drug distribution system and method
US14/219,904 Abandoned US20140207480A1 (en) 2002-12-17 2014-03-19 Sensitive drug distribution system and method
US15/014,831 Abandoned US20160154947A1 (en) 2002-12-17 2016-02-03 Sensitive drug distribution system and method
US15/057,898 Abandoned US20160180058A1 (en) 2002-12-17 2016-03-01 Sensitive drug distribution system and method

Country Status (1)

Country Link
US (15) US7668730B2 (en)

Cited By (17)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8386274B1 (en) 2008-09-17 2013-02-26 Mckesson Financial Holdings Limited Systems and methods for a prescription safety network utilizing eligibility verification transactions
US8392219B1 (en) 2010-05-10 2013-03-05 Mckesson Financial Holdings Limited Systems and methods for streamlined patient enrollment for one or more healthcare programs
US8457988B1 (en) 2002-12-17 2013-06-04 Jazz Pharmaceuticals, Inc. Sensitive drug distribution system and method
US8626529B1 (en) 2011-11-17 2014-01-07 Mckesson Financial Holdings Systems and methods for identifying risk evaluation and mitigation strategies (REMS) compliance
CN104463471A (en) * 2014-12-12 2015-03-25 中国科学院城市环境研究所 Pubic institution energy management performance evaluation method based on data envelopment analysis
US9636273B1 (en) 2010-12-06 2017-05-02 Vatex Explorations, LLC Drug monitoring methods and systems
CN107146184A (en) * 2016-03-01 2017-09-08 卡尔斯特里姆保健公司 Medical records outgoing management method and medical records output system
US10457627B2 (en) 2015-09-23 2019-10-29 Xw Laboratories Inc. Prodrugs of gamma-hydroxybutyric acid, compositions and uses thereof
US10496793B1 (en) 2014-12-15 2019-12-03 Mckesson Corporation Systems and methods for determining eligibility in a prescription safety network program
US11400065B2 (en) 2019-03-01 2022-08-02 Flamel Ireland Limited Gamma-hydroxybutyrate compositions having improved pharmacokinetics in the fed state
US11456081B1 (en) 2017-07-20 2022-09-27 Jazz Pharmaceuticals, Inc. Sensitive drug distribution systems and methods
US11504347B1 (en) 2016-07-22 2022-11-22 Flamel Ireland Limited Modified release gamma-hydroxybutyrate formulations having improved pharmacokinetics
US11583510B1 (en) 2022-02-07 2023-02-21 Flamel Ireland Limited Methods of administering gamma hydroxybutyrate formulations after a high-fat meal
US11602512B1 (en) 2016-07-22 2023-03-14 Flamel Ireland Limited Modified release gamma-hydroxybutyrate formulations having improved pharmacokinetics
US11602513B1 (en) 2016-07-22 2023-03-14 Flamel Ireland Limited Modified release gamma-hydroxybutyrate formulations having improved pharmacokinetics
US11779557B1 (en) 2022-02-07 2023-10-10 Flamel Ireland Limited Modified release gamma-hydroxybutyrate formulations having improved pharmacokinetics
US11839597B2 (en) 2016-07-22 2023-12-12 Flamel Ireland Limited Modified release gamma-hydroxybutyrate formulations having improved pharmacokinetics

Families Citing this family (113)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6315720B1 (en) 2000-10-23 2001-11-13 Celgene Corporation Methods for delivering a drug to a patient while avoiding the occurrence of an adverse side effect known or suspected of being caused by the drug
US10643003B2 (en) * 2003-09-25 2020-05-05 Ateb, Inc. System and method for maintaining privacy of data used at a signature capture device
US8712582B1 (en) 2004-10-01 2014-04-29 Edge Medical Properties, Llc System and method for combining different tablets into a pouch
US7690173B2 (en) 2005-09-30 2010-04-06 Edge Medical, Inc. Multiple prescription production facility
US8972288B2 (en) 2004-10-01 2015-03-03 Edge Medical Properties, Llc System and method for online matrix-based dosage scheduling
US8123036B2 (en) 2004-10-01 2012-02-28 Edge Medical Properties, Llc Pill assembly for pill packaging and delivery systems
US9334096B2 (en) 2004-10-01 2016-05-10 Edge Medical Properties, Llc Multiple inspection system and method that inspects different medications
US9141764B2 (en) 2010-11-12 2015-09-22 Edge Medical Properties, Llc System and method for online integrated multiple tablet ordering
US8914298B1 (en) 2004-10-01 2014-12-16 Edge Medical Properties, Llc System and method for integrated verification and assembly of multi-script pouches into a housing container
US8789700B2 (en) 2004-10-01 2014-07-29 Edge Medical Properties, Llc System and method for communicating and inspecting a multiple tablet order
US9015058B2 (en) 2004-10-01 2015-04-21 Edge Medical Properties, Llc Matrix based dosage scheduling
US9238518B2 (en) 2004-10-01 2016-01-19 Edge Medical Properties, Llc Inspection system and method with a control process that inspects different medications
US8266878B2 (en) 2004-10-01 2012-09-18 Edge Medical Properties, Llc System and method for verifying and assembling a multiple prescription package
US9710866B2 (en) * 2005-09-30 2017-07-18 Edge Medical, Llc System and method for processing a multiple prescription order
US9245304B2 (en) 2004-10-01 2016-01-26 Edge Medical Properties, Llc Manufacturing separable pouches with a center cut blade
US10315450B1 (en) 2006-10-24 2019-06-11 Edge Medical Properties, Llc System and method for generating an integrated label for container housing multi-script pouches
US8146747B2 (en) 2004-10-01 2012-04-03 Edge Medical Properties, Llc Tablet dispensing container
US7885824B1 (en) 2004-12-10 2011-02-08 Exela Pharmsci, Inc. Method and system for delivering medical therapies
US8321283B2 (en) * 2005-05-27 2012-11-27 Per-Se Technologies Systems and methods for alerting pharmacies of formulary alternatives
US8635081B2 (en) 2005-11-01 2014-01-21 Walgreen Co. Integrated pharmacy error tracking and reporting system and method
US20070100216A1 (en) * 2005-11-01 2007-05-03 Radcliffe Mark T Psycho/physiological deception detection system and method for controlled substance surveillance
US20070162303A1 (en) * 2005-12-08 2007-07-12 Ndchealth Corporation Systems and Methods for Shifting Prescription Market Share by Presenting Pricing Differentials for Therapeutic Alternatives
US20070168221A1 (en) * 2006-01-18 2007-07-19 James Blotter Communicating medical information
US20070214014A1 (en) * 2006-03-03 2007-09-13 Suwalski Michael W Pharmacy quality checking and alert system and method
US20090254368A1 (en) * 2006-03-16 2009-10-08 Cunnold David D Method of providing enhanced point of service care
US7467113B2 (en) 2006-03-24 2008-12-16 Walgreen Co. License verification system and method
US20080114691A1 (en) * 2006-10-31 2008-05-15 Chuck Foster Processing transactions
US20080300902A1 (en) * 2006-11-15 2008-12-04 Purdue Pharma L.P. Method of identifying locations experiencing elevated levels of abuse of opioid analgesic drugs
US20080201173A1 (en) * 2006-12-05 2008-08-21 Toyohiro Takehara Methods for delivering a drug to a patient while restricting access to the drug by patients for whom the drug may be contraindicated
WO2008113019A1 (en) * 2007-03-14 2008-09-18 Hansell Douglas M System for electronic prescriptions
US8635083B1 (en) 2008-04-02 2014-01-21 Mckesson Financial Holdings Systems and methods for facilitating the establishment of pharmaceutical rebate agreements
WO2009132275A2 (en) * 2008-04-25 2009-10-29 Celgene Corporation Methods for delivering a drug to a patient while restricting access to the drug by patients for whom the drug may be contraindicated
US8370173B2 (en) * 2008-05-08 2013-02-05 Wellpartner Incorporated System and method for dispersing medications using a single point replenishment
US8626525B2 (en) 2008-06-23 2014-01-07 Mckesson Financial Holdings Systems and methods for real-time monitoring and analysis of prescription claim rejections
US20090326975A1 (en) * 2008-06-25 2009-12-31 Wellpartner Incorporated Systems and methods for controlling a replenishment program through a contract pharmacy
US8538777B1 (en) 2008-06-30 2013-09-17 Mckesson Financial Holdings Limited Systems and methods for providing patient medication history
US8719055B2 (en) * 2008-11-05 2014-05-06 Rx Controls, Llc Method and system to control and enhance prescribing and dispensing of medication
US10497471B1 (en) * 2009-02-24 2019-12-03 West Corporation System, method and computer readable medium for use in providing patient treatment regime
EP2401324B1 (en) 2009-02-25 2013-08-21 Dow Global Technologies LLC Phylon processes of making foam articles comprising ethylene/ -olefins block interpolymers
WO2010104841A2 (en) * 2009-03-09 2010-09-16 Celgene Corporation Device for delivering a drug to a patient while restricting access to the drug by patients for whom the drug may be contraindicated and methods for use thereof
US8412538B2 (en) * 2009-06-09 2013-04-02 Wellpartner Incorporated System and method for prepurchased replenishment of pharmaceuticals
US20110054935A1 (en) * 2009-09-01 2011-03-03 Wellpartner Incorporated System and method for cached replenishment of pharmaceuticals
US8489415B1 (en) 2009-09-30 2013-07-16 Mckesson Financial Holdings Limited Systems and methods for the coordination of benefits in healthcare claim transactions
US8788296B1 (en) 2010-01-29 2014-07-22 Mckesson Financial Holdings Systems and methods for providing notifications of availability of generic drugs or products
US8386276B1 (en) 2010-02-11 2013-02-26 Mckesson Financial Holdings Limited Systems and methods for determining prescribing physician activity levels
US8321243B1 (en) 2010-02-15 2012-11-27 Mckesson Financial Holdings Limited Systems and methods for the intelligent coordination of benefits in healthcare transactions
EP2549987A4 (en) 2010-03-24 2015-01-21 Jazz Pharmaceuticals Inc Controlled release dosage forms for high dose, water soluble and hygroscopic drug substances
US8392209B1 (en) 2010-06-13 2013-03-05 Mckesson Specialty Arizona Inc. Systems, methods, and apparatuses for barcoded service requests and responses associated with healthcare transactions
US8392214B1 (en) 2010-11-30 2013-03-05 Mckesson Financial Holdings Limited Systems and methods for facilitating claim rejection resolution by providing prior authorization assistance
US10435192B2 (en) 2011-05-16 2019-10-08 Edge Medical Properties, Llc Multiple inspection system and method that inspects different medications
US8566117B1 (en) 2011-06-30 2013-10-22 Mckesson Financial Holdings Systems and methods for facilitating healthcare provider enrollment with one or more payers
US9922576B2 (en) 2011-08-26 2018-03-20 Elwha Llc Ingestion intelligence acquisition system and method for ingestible material preparation system and method
US10121218B2 (en) 2012-06-12 2018-11-06 Elwha Llc Substrate structure injection treatment system and method for ingestible product system and method
US20130054255A1 (en) * 2011-08-26 2013-02-28 Elwha LLC, a limited liability company of the State of Delaware Controlled substance authorization and method for ingestible product preparation system and method
US10239256B2 (en) 2012-06-12 2019-03-26 Elwha Llc Food printing additive layering substrate structure ingestible material preparation system and method
US20130331981A1 (en) 2012-06-12 2013-12-12 Elwha LLC, a limited liability company of the State of Delaware Substrate Structure Deposition Treatment System And Method For Ingestible Product System And Method
US9947167B2 (en) 2011-08-26 2018-04-17 Elwha Llc Treatment system and method for ingestible product dispensing system and method
US10192037B2 (en) 2011-08-26 2019-01-29 Elwah LLC Reporting system and method for ingestible product preparation system and method
US9785985B2 (en) 2011-08-26 2017-10-10 Elwha Llc Selection information system and method for ingestible product preparation system and method
US10115093B2 (en) * 2011-08-26 2018-10-30 Elwha Llc Food printing goal implementation substrate structure ingestible material preparation system and method
US10026336B2 (en) 2011-08-26 2018-07-17 Elwha Llc Refuse intelligence acquisition system and method for ingestible product preparation system and method
US9997006B2 (en) 2011-08-26 2018-06-12 Elwha Llc Treatment system and method for ingestible product dispensing system and method
US9240028B2 (en) 2011-08-26 2016-01-19 Elwha Llc Reporting system and method for ingestible product preparation system and method
US8762175B1 (en) 2011-12-09 2014-06-24 Express Scripts, Inc. Methods and systems for promoting mobile awareness
US10366462B1 (en) * 2012-03-26 2019-07-30 Express Scripts Strategic Development, Inc. Drug interaction review methods and systems
US8725532B1 (en) 2012-06-29 2014-05-13 Mckesson Financial Holdings Systems and methods for monitoring controlled substance distribution
CA2897959A1 (en) * 2013-02-16 2014-08-21 Diversion Detection Technologies, Llc Method and apparatus for detecting controlled substance abuse or diversion
US9050302B2 (en) 2013-03-01 2015-06-09 Jazz Pharmaceuticals Ireland Limited Method of administration of gamma hydroxybutyrate with monocarboxylate transporters
US20140316796A1 (en) * 2013-04-19 2014-10-23 Jazz Pharmaceuticals Systems, methods, and computer-readable media for limited distribution of specialty drug using a computer hub operating at a single access point
US9675523B2 (en) 2013-08-26 2017-06-13 James Dean Ducatt Prescription control system
US9542534B1 (en) 2013-08-26 2017-01-10 James Dean Ducatt Prescription control system
WO2015116802A1 (en) 2014-01-29 2015-08-06 Otsuka Pharmaceutical Co., Ltd. Device-based risk management of a therapeutic
US10430555B1 (en) 2014-03-13 2019-10-01 Mckesson Corporation Systems and methods for determining and communicating information to a pharmacy indicating patient eligibility for an intervention service
US10297344B1 (en) 2014-03-31 2019-05-21 Mckesson Corporation Systems and methods for establishing an individual's longitudinal medication history
US10635783B2 (en) 2014-06-23 2020-04-28 Mckesson Corporation Systems and methods for determining patient adherence to a prescribed medication protocol
NZ762886A (en) * 2014-09-29 2022-02-25 Zogenix International Ltd Control system for control of distribution of medication
US10331855B1 (en) 2014-10-16 2019-06-25 Walgreen Co. Modular prescription approval system
US10642957B1 (en) 2014-10-21 2020-05-05 Mckesson Corporation Systems and methods for determining, collecting, and configuring patient intervention screening information from a pharmacy
US10543152B1 (en) 2014-10-22 2020-01-28 Walgreen Co. Method and apparatus for providing prescription verification
US10423759B1 (en) 2015-01-16 2019-09-24 Mckesson Corporation Systems and methods for identifying prior authorization assistance requests in healthcare transactions
US10398662B1 (en) 2015-02-18 2019-09-03 Jazz Pharma Ireland Limited GHB formulation and method for its manufacture
US20170076065A1 (en) * 2015-09-10 2017-03-16 Lynx Rx, Inc. System, device, and automated method for verification of medication integrity and chain of custody
EP3393470B1 (en) 2015-12-22 2021-01-20 Zogenix International Limited Metabolism resistant fenfluramine analogs and methods of using the same
EP3800177A1 (en) 2015-12-22 2021-04-07 Zogenix International Limited Fenfluramine compositions and methods of preparing the same
US10606984B1 (en) 2016-03-29 2020-03-31 Mckesson Corporation Adherence monitoring system
US11000498B2 (en) 2016-07-22 2021-05-11 Flamel Ireland Limited Modified release gamma-hydroxybutyrate formulations having improved pharmacokinetics
JP2019526544A (en) 2016-08-24 2019-09-19 ゾゲニクス インターナショナル リミテッド Formulations for inhibiting the formation of 5-HT2B agonists and methods of use thereof
US20180263936A1 (en) 2017-03-17 2018-09-20 Jazz Pharmaceuticals Ireland Limited Gamma-hydroxybutyrate compositions and their use for the treatment of disorders
US10650380B1 (en) 2017-03-31 2020-05-12 Mckesson Corporation System and method for evaluating requests
WO2019006212A1 (en) * 2017-06-28 2019-01-03 Pillsy, Inc. System, methods, & device for managing a product
CN107590251A (en) * 2017-09-19 2018-01-16 郑州云海信息技术有限公司 A kind of data managing method and its device
US10682317B2 (en) 2017-09-26 2020-06-16 Zogenix International Limited Ketogenic diet compatible fenfluramine formulation
US11282591B2 (en) 2018-02-05 2022-03-22 Optum, Inc. Device for the centralized management of medical tests and methods for using the same
US10978183B2 (en) * 2018-02-05 2021-04-13 Optum, Inc. Device for approving medical tests across a plurality of medical laboratories, medical providers, and lab payers and methods for using the same
US10930391B2 (en) * 2018-02-05 2021-02-23 Optum, Inc. Device for reducing fraud, waste, and abuse in the ordering and performance of medical testing and methods for using the same
WO2019169196A1 (en) 2018-02-28 2019-09-06 Tri-Star Technologies Apparatus, system and method for facilitating tracking of consumable pharmaceutical articles
JP2021526507A (en) 2018-05-11 2021-10-07 ゾゲニクス インターナショナル リミテッド Compositions and Methods for Treating Sudden Death Induced by Seizures
US11894118B2 (en) 2018-06-19 2024-02-06 Centurion Management Group, Inc. Method of authenticating controlled-substance transactions
EP3883549A1 (en) 2018-11-19 2021-09-29 Jazz Pharmaceuticals Ireland Limited Alcohol-resistant drug formulations
CA3162233A1 (en) * 2019-11-20 2021-05-27 Societe Des Produits Nestle S.A. Methods and systems for managing distribution and treatment of a food allergy oral immunotherapy drug
BR112022012594A2 (en) 2019-12-24 2022-09-06 Jazz Pharmaceuticals Ireland Ltd DOSAGE OF GAMMA-HYDROXYBUTYRATE (GHB)
US20210236044A1 (en) * 2020-02-03 2021-08-05 nQ Medical, Inc. Methods and Apparatus for Assessment of Health Condition or Functional State from Keystroke Data
TW202139986A (en) 2020-02-21 2021-11-01 愛爾蘭商爵士製藥愛爾蘭有限責任公司 Methods of treating idiopathic hypersomnia
US20210295971A1 (en) * 2020-03-23 2021-09-23 Jazz Pharmaceuticals, Inc. Sensitive drug distribution systems and methods
US11612574B2 (en) 2020-07-17 2023-03-28 Zogenix International Limited Method of treating patients infected with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)
CN112183040A (en) * 2020-09-27 2021-01-05 金蝶软件(中国)有限公司 Voucher generation method and related device
US20230404950A1 (en) 2020-10-08 2023-12-21 Jazz Pharmaceuticals Ireland Limited Sodium oxybate to treat idiopathic hypersomnia
TW202228666A (en) 2020-10-16 2022-08-01 愛爾蘭商爵士製藥愛爾蘭有限責任公司 Treatment methods using ghb
US20220301697A1 (en) * 2021-03-18 2022-09-22 Vetsnap Corp. System and techniques for inventory data reconciliation
AU2021457819A1 (en) * 2021-07-28 2024-02-08 Chattem, Inc. Systems and methods for providing a nonprescription drug
WO2023062018A1 (en) 2021-10-11 2023-04-20 Jazz Pharmaceuticals Ireland Limited Method of administering oxybate
WO2023135150A1 (en) 2022-01-11 2023-07-20 Jazz Pharmaceuticals Ireland Limited Method of administering oxybate
WO2023178288A1 (en) 2022-03-17 2023-09-21 Azora Therapeutics, Inc. Companion diagnostics and strategies for treatment with an aryl hydrocarbon receptor agonist compound

Citations (43)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3556342A (en) * 1969-05-05 1971-01-19 Joseph S Guarr Medicine dispensing apparatus
US4847764A (en) * 1987-05-21 1989-07-11 Meditrol, Inc. System for dispensing drugs in health care institutions
US4976351A (en) * 1989-06-01 1990-12-11 Pharmedix Kit for distributing pharmaceutical products
US5737539A (en) * 1994-10-28 1998-04-07 Advanced Health Med-E-Systems Corp. Prescription creation system
US5845255A (en) * 1994-10-28 1998-12-01 Advanced Health Med-E-Systems Corporation Prescription management system
US5924074A (en) * 1996-09-27 1999-07-13 Azron Incorporated Electronic medical records system
US6021392A (en) * 1996-12-09 2000-02-01 Pyxis Corporation System and method for drug management
US6045501A (en) * 1998-08-28 2000-04-04 Celgene Corporation Methods for delivering a drug to a patient while preventing the exposure of a foetus or other contraindicated individual to the drug
US6055507A (en) * 1995-11-13 2000-04-25 Cunningham; David W. Method and system for dispensing, tracking and managing pharmaceutical trial products
US6112182A (en) * 1996-01-16 2000-08-29 Healthcare Computer Corporation Method and apparatus for integrated management of pharmaceutical and healthcare services
US20010001144A1 (en) * 1998-02-27 2001-05-10 Kapp Thomas L. Pharmacy drug management system providing patient specific drug dosing, drug interaction analysis, order generation, and patient data matching
US6315720B1 (en) * 2000-10-23 2001-11-13 Celgene Corporation Methods for delivering a drug to a patient while avoiding the occurrence of an adverse side effect known or suspected of being caused by the drug
US20010042050A1 (en) * 2000-01-05 2001-11-15 Procure.Com Inc. Secure electronic procurement system and method
US20010047281A1 (en) * 2000-03-06 2001-11-29 Keresman Michael A. Secure on-line authentication system for processing prescription drug fulfillment
US20020010661A1 (en) * 2000-05-31 2002-01-24 Waddington Steffanie G. Distribution system
US20020032582A1 (en) * 2000-09-14 2002-03-14 Feeney Robert J. System for medication dispensing and integrated data management
US20020032581A1 (en) * 2000-07-17 2002-03-14 Reitberg Donald P. Single-patient drug trials used with accumulated database: risk of habituation
US20020042762A1 (en) * 2000-09-07 2002-04-11 Mcquade Richard Tracking the distribution of prescription drugs and other controlled articles
US20020052762A1 (en) * 1998-06-16 2002-05-02 Paul Kobylevsky Remote prescription refill system
US20020161607A1 (en) * 2001-02-23 2002-10-31 Subich David C. Pharmaceutical drug sample tracking and control method
US20020177232A1 (en) * 2001-05-23 2002-11-28 Melker Richard J. Method and apparatus for detecting illicit substances
US20030033168A1 (en) * 2001-04-13 2003-02-13 Andrea Califano Methods and systems for managing informed consent processes
US20030046110A1 (en) * 2001-08-29 2003-03-06 Victor Gogolak Method and system for creating, storing and using patient-specific and population-based genomic drug safety data
US20030050802A1 (en) * 2001-04-03 2003-03-13 Richard Jay Medical service and prescription management system
US6564121B1 (en) * 1999-09-22 2003-05-13 Telepharmacy Solutions, Inc. Systems and methods for drug dispensing
US20030093295A1 (en) * 2001-11-14 2003-05-15 Lilly Ralph B. Controlled substance tracking system and method
US20030110060A1 (en) * 2001-12-12 2003-06-12 Clementi William A. Method of providing comprehensive drug compliance information
US20030127508A1 (en) * 1998-07-20 2003-07-10 Jones William Neil Method of individually tracking and identifying a drug delivery device
US20030144876A1 (en) * 2002-01-28 2003-07-31 Merck-Medco Managed Care, Llc Apparatus and method for processing phone-in prescriptions
US20030160698A1 (en) * 2002-02-26 2003-08-28 Safety Syringes, Inc. Systems and methods for tracking pharmaceuticals within a facility
US20030197366A1 (en) * 2002-04-17 2003-10-23 Shawn Kusterbeck Method and system for prescription distribution security
US20030229519A1 (en) * 2002-05-16 2003-12-11 Eidex Brian H. Systems and methods for identifying fraud and abuse in prescription claims
US20030233256A1 (en) * 2002-06-13 2003-12-18 Rodolfo Cardenas Secure medical prescription
US20040008123A1 (en) * 2002-07-15 2004-01-15 Battelle Memorial Institute System and method for tracking medical devices
US20040019567A1 (en) * 2002-07-23 2004-01-29 International Business Machines Corporation Electronic prescription ordering method, system, and program product
US20040019794A1 (en) * 2002-07-29 2004-01-29 Ahmad Moradi Method and system for delivering prescription medicine
US20040078237A1 (en) * 2002-09-11 2004-04-22 William Kaafarani Method of dispensing medical prescriptions
US20040107117A1 (en) * 1999-09-21 2004-06-03 Denny Lawrenee A. Prescription verification system
US20040117126A1 (en) * 2002-11-25 2004-06-17 Fetterman Jeffrey E. Method of assessing and managing risks associated with a pharmaceutical product
US20040122713A1 (en) * 2002-12-20 2004-06-24 Hill Kenneth A. System and method for prescription home delivery
US20040122712A1 (en) * 2002-12-20 2004-06-24 Hill Kenneth A. System and method for prescription management
US20040162740A1 (en) * 2003-02-14 2004-08-19 Ericsson Arthur Dale Digitized prescription system
US20050090425A1 (en) * 2002-12-17 2005-04-28 Orphan Medical, Inc. Sensitive drug distribution system and method

Family Cites Families (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP0334187B1 (en) * 1988-03-23 1991-10-16 Liebherr-Werk Ehingen GmbH Mobile telescopic jib crane
GB9117029D0 (en) 1991-08-07 1991-09-18 Hunting Eng Ltd Fluid dispensing processes
US5963919A (en) * 1996-12-23 1999-10-05 Northern Telecom Limited Inventory management strategy evaluation system and method
GB9716003D0 (en) * 1997-07-29 1997-10-01 Compair Hydrovane Limited Air compression of sliding vane eccentric rotor type
US6154738A (en) * 1998-03-27 2000-11-28 Call; Charles Gainor Methods and apparatus for disseminating product information via the internet using universal product codes
US7034143B1 (en) * 1998-10-13 2006-04-25 Brown University Research Foundation Systems and methods for sequencing by hybridization
US6667232B2 (en) * 1998-12-08 2003-12-23 Intel Corporation Thin dielectric layers and non-thermal formation thereof
US6284384B1 (en) * 1998-12-09 2001-09-04 Memc Electronic Materials, Inc. Epitaxial silicon wafer with intrinsic gettering
US6755794B2 (en) * 2000-04-25 2004-06-29 Synovis Life Technologies, Inc. Adjustable stylet
US6892941B2 (en) * 2000-06-08 2005-05-17 Mendota Healthcare, Inc. Automatic prescription drug dispenser
US20030074225A1 (en) 2001-10-12 2003-04-17 Borsand Gerald C. Pharmaceutical information tracking system
JP2003184685A (en) * 2001-12-18 2003-07-03 Aisan Ind Co Ltd Fuel supply device
US20060054682A1 (en) * 2004-09-07 2006-03-16 Carlos De La Huerga Method and system for tracking and verifying medication

Patent Citations (58)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US3556342A (en) * 1969-05-05 1971-01-19 Joseph S Guarr Medicine dispensing apparatus
US4847764A (en) * 1987-05-21 1989-07-11 Meditrol, Inc. System for dispensing drugs in health care institutions
US4847764C1 (en) * 1987-05-21 2001-09-11 Meditrol Inc System for dispensing drugs in health care instituions
US4976351A (en) * 1989-06-01 1990-12-11 Pharmedix Kit for distributing pharmaceutical products
US20020042725A1 (en) * 1994-10-28 2002-04-11 Christian Mayaud Computerized prescription system for gathering and presenting information relating to pharmaceuticals
US5737539A (en) * 1994-10-28 1998-04-07 Advanced Health Med-E-Systems Corp. Prescription creation system
US5845255A (en) * 1994-10-28 1998-12-01 Advanced Health Med-E-Systems Corporation Prescription management system
US6055507A (en) * 1995-11-13 2000-04-25 Cunningham; David W. Method and system for dispensing, tracking and managing pharmaceutical trial products
US6112182A (en) * 1996-01-16 2000-08-29 Healthcare Computer Corporation Method and apparatus for integrated management of pharmaceutical and healthcare services
US6347329B1 (en) * 1996-09-27 2002-02-12 Macneal Memorial Hospital Assoc. Electronic medical records system
US5924074A (en) * 1996-09-27 1999-07-13 Azron Incorporated Electronic medical records system
US6021392A (en) * 1996-12-09 2000-02-01 Pyxis Corporation System and method for drug management
US20010001144A1 (en) * 1998-02-27 2001-05-10 Kapp Thomas L. Pharmacy drug management system providing patient specific drug dosing, drug interaction analysis, order generation, and patient data matching
US20020052762A1 (en) * 1998-06-16 2002-05-02 Paul Kobylevsky Remote prescription refill system
US20030127508A1 (en) * 1998-07-20 2003-07-10 Jones William Neil Method of individually tracking and identifying a drug delivery device
US6045501A (en) * 1998-08-28 2000-04-04 Celgene Corporation Methods for delivering a drug to a patient while preventing the exposure of a foetus or other contraindicated individual to the drug
US20040107117A1 (en) * 1999-09-21 2004-06-03 Denny Lawrenee A. Prescription verification system
US6564121B1 (en) * 1999-09-22 2003-05-13 Telepharmacy Solutions, Inc. Systems and methods for drug dispensing
US20010042050A1 (en) * 2000-01-05 2001-11-15 Procure.Com Inc. Secure electronic procurement system and method
US20010047281A1 (en) * 2000-03-06 2001-11-29 Keresman Michael A. Secure on-line authentication system for processing prescription drug fulfillment
US20020010661A1 (en) * 2000-05-31 2002-01-24 Waddington Steffanie G. Distribution system
US20020032581A1 (en) * 2000-07-17 2002-03-14 Reitberg Donald P. Single-patient drug trials used with accumulated database: risk of habituation
US20020042762A1 (en) * 2000-09-07 2002-04-11 Mcquade Richard Tracking the distribution of prescription drugs and other controlled articles
US6952681B2 (en) * 2000-09-07 2005-10-04 Data Reduction Systems Corp. Tracking the distribution of prescription drugs and other controlled articles
US20020032582A1 (en) * 2000-09-14 2002-03-14 Feeney Robert J. System for medication dispensing and integrated data management
US6561977B2 (en) * 2000-10-23 2003-05-13 Celgene Corporation Methods for delivering a drug to a patient while restricting access to the drug by patients for whom the drug may be contraindicated
US6315720B1 (en) * 2000-10-23 2001-11-13 Celgene Corporation Methods for delivering a drug to a patient while avoiding the occurrence of an adverse side effect known or suspected of being caused by the drug
US6755784B2 (en) * 2000-10-23 2004-06-29 Celgene Corporation Methods for delivering a drug to a patient while restricting access to the drug by patients for whom the drug may be contraindicated
US20020161607A1 (en) * 2001-02-23 2002-10-31 Subich David C. Pharmaceutical drug sample tracking and control method
US20030050802A1 (en) * 2001-04-03 2003-03-13 Richard Jay Medical service and prescription management system
US20030033168A1 (en) * 2001-04-13 2003-02-13 Andrea Califano Methods and systems for managing informed consent processes
US20020177232A1 (en) * 2001-05-23 2002-11-28 Melker Richard J. Method and apparatus for detecting illicit substances
US20030046110A1 (en) * 2001-08-29 2003-03-06 Victor Gogolak Method and system for creating, storing and using patient-specific and population-based genomic drug safety data
US20030093295A1 (en) * 2001-11-14 2003-05-15 Lilly Ralph B. Controlled substance tracking system and method
US20040176985A1 (en) * 2001-11-14 2004-09-09 Lilly Ralph B. Controlled substance tracking system and method
US20030110060A1 (en) * 2001-12-12 2003-06-12 Clementi William A. Method of providing comprehensive drug compliance information
US20030144876A1 (en) * 2002-01-28 2003-07-31 Merck-Medco Managed Care, Llc Apparatus and method for processing phone-in prescriptions
US7058584B2 (en) * 2002-01-28 2006-06-06 Medco Health Solutions, Inc. Apparatus and method for processing prescription requests using a remotely located prescription processing system
US20030160698A1 (en) * 2002-02-26 2003-08-28 Safety Syringes, Inc. Systems and methods for tracking pharmaceuticals within a facility
US20030197366A1 (en) * 2002-04-17 2003-10-23 Shawn Kusterbeck Method and system for prescription distribution security
US20030229519A1 (en) * 2002-05-16 2003-12-11 Eidex Brian H. Systems and methods for identifying fraud and abuse in prescription claims
US20030233256A1 (en) * 2002-06-13 2003-12-18 Rodolfo Cardenas Secure medical prescription
US20040008123A1 (en) * 2002-07-15 2004-01-15 Battelle Memorial Institute System and method for tracking medical devices
US20040019567A1 (en) * 2002-07-23 2004-01-29 International Business Machines Corporation Electronic prescription ordering method, system, and program product
US20040019794A1 (en) * 2002-07-29 2004-01-29 Ahmad Moradi Method and system for delivering prescription medicine
US20040078237A1 (en) * 2002-09-11 2004-04-22 William Kaafarani Method of dispensing medical prescriptions
US20040117126A1 (en) * 2002-11-25 2004-06-17 Fetterman Jeffrey E. Method of assessing and managing risks associated with a pharmaceutical product
US20050090425A1 (en) * 2002-12-17 2005-04-28 Orphan Medical, Inc. Sensitive drug distribution system and method
US20050216309A1 (en) * 2002-12-17 2005-09-29 Orphan Medical, Inc.. Sensitive drug distribution system and method
US20050222874A1 (en) * 2002-12-17 2005-10-06 Orphan Medical, Inc. Sensitive drug distribution system and method
US7668730B2 (en) * 2002-12-17 2010-02-23 JPI Commercial, LLC. Sensitive drug distribution system and method
US20100138237A1 (en) * 2002-12-17 2010-06-03 Orphan Medical, Inc. Sensitive drug distribution system and method
US7765107B2 (en) * 2002-12-17 2010-07-27 JPI Commercial, LLC. Sensitive drug distribution system and method
US7765106B2 (en) * 2002-12-17 2010-07-27 Jpi Commercial, Llc Sensitive drug distribution system and method
US7797171B2 (en) * 2002-12-17 2010-09-14 Jpi Commercial, Llc Sensitive drug distribution system and method
US20040122712A1 (en) * 2002-12-20 2004-06-24 Hill Kenneth A. System and method for prescription management
US20040122713A1 (en) * 2002-12-20 2004-06-24 Hill Kenneth A. System and method for prescription home delivery
US20040162740A1 (en) * 2003-02-14 2004-08-19 Ericsson Arthur Dale Digitized prescription system

Cited By (25)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8457988B1 (en) 2002-12-17 2013-06-04 Jazz Pharmaceuticals, Inc. Sensitive drug distribution system and method
US8589182B1 (en) 2002-12-17 2013-11-19 Jazz Pharmaceuticals, Inc. Sensitive drug distribution system and method
US8731963B1 (en) 2002-12-17 2014-05-20 Jazz Pharmaceuticals, Inc. Sensitive drug distribution system and method
US8386274B1 (en) 2008-09-17 2013-02-26 Mckesson Financial Holdings Limited Systems and methods for a prescription safety network utilizing eligibility verification transactions
US8392219B1 (en) 2010-05-10 2013-03-05 Mckesson Financial Holdings Limited Systems and methods for streamlined patient enrollment for one or more healthcare programs
US9636273B1 (en) 2010-12-06 2017-05-02 Vatex Explorations, LLC Drug monitoring methods and systems
US8626529B1 (en) 2011-11-17 2014-01-07 Mckesson Financial Holdings Systems and methods for identifying risk evaluation and mitigation strategies (REMS) compliance
CN104463471A (en) * 2014-12-12 2015-03-25 中国科学院城市环境研究所 Pubic institution energy management performance evaluation method based on data envelopment analysis
US10496793B1 (en) 2014-12-15 2019-12-03 Mckesson Corporation Systems and methods for determining eligibility in a prescription safety network program
US10774031B2 (en) 2015-09-23 2020-09-15 Xw Laboratories Inc. Prodrugs of gamma-hydroxybutyric acid, compositions and uses thereof
US10457627B2 (en) 2015-09-23 2019-10-29 Xw Laboratories Inc. Prodrugs of gamma-hydroxybutyric acid, compositions and uses thereof
US10501401B2 (en) 2015-09-23 2019-12-10 Xw Laboratories Inc. Prodrugs of gamma-hydroxybutyric acid, compositions and uses thereof
US10941107B2 (en) 2015-09-23 2021-03-09 Xw Laboratories Inc. Prodrugs of gamma-hydroxybutyric acid, compositions and uses thereof
CN107146184A (en) * 2016-03-01 2017-09-08 卡尔斯特里姆保健公司 Medical records outgoing management method and medical records output system
US11504347B1 (en) 2016-07-22 2022-11-22 Flamel Ireland Limited Modified release gamma-hydroxybutyrate formulations having improved pharmacokinetics
US11602512B1 (en) 2016-07-22 2023-03-14 Flamel Ireland Limited Modified release gamma-hydroxybutyrate formulations having improved pharmacokinetics
US11602513B1 (en) 2016-07-22 2023-03-14 Flamel Ireland Limited Modified release gamma-hydroxybutyrate formulations having improved pharmacokinetics
US11766418B2 (en) 2016-07-22 2023-09-26 Flamel Ireland Limited Modified release gamma-hydroxybutyrate formulations having improved pharmacokinetics
US11826335B2 (en) 2016-07-22 2023-11-28 Flamel Ireland Limited Modified release gamma-hydroxybutyrate formulations having improved pharmacokinetics
US11839597B2 (en) 2016-07-22 2023-12-12 Flamel Ireland Limited Modified release gamma-hydroxybutyrate formulations having improved pharmacokinetics
US11896572B2 (en) 2016-07-22 2024-02-13 Flamel Ireland Limited Modified release gamma-hydroxybutyrate formulations having improved pharmacokinetics
US11456081B1 (en) 2017-07-20 2022-09-27 Jazz Pharmaceuticals, Inc. Sensitive drug distribution systems and methods
US11400065B2 (en) 2019-03-01 2022-08-02 Flamel Ireland Limited Gamma-hydroxybutyrate compositions having improved pharmacokinetics in the fed state
US11583510B1 (en) 2022-02-07 2023-02-21 Flamel Ireland Limited Methods of administering gamma hydroxybutyrate formulations after a high-fat meal
US11779557B1 (en) 2022-02-07 2023-10-10 Flamel Ireland Limited Modified release gamma-hydroxybutyrate formulations having improved pharmacokinetics

Also Published As

Publication number Publication date
US20140207480A1 (en) 2014-07-24
US8457988B1 (en) 2013-06-04
US20040117205A1 (en) 2004-06-17
US20160154947A1 (en) 2016-06-02
US20120209623A1 (en) 2012-08-16
US20140207481A1 (en) 2014-07-24
US20050216309A1 (en) 2005-09-29
US20050090425A1 (en) 2005-04-28
US7895059B2 (en) 2011-02-22
US7765106B2 (en) 2010-07-27
US20160180058A1 (en) 2016-06-23
US7765107B2 (en) 2010-07-27
US20100138237A1 (en) 2010-06-03
US8731963B1 (en) 2014-05-20
US20050222874A1 (en) 2005-10-06
US8589182B1 (en) 2013-11-19
US7668730B2 (en) 2010-02-23
US7797171B2 (en) 2010-09-14
US20140188504A1 (en) 2014-07-03

Similar Documents

Publication Publication Date Title
US7765106B2 (en) Sensitive drug distribution system and method
KR100597289B1 (en) The method for electronic examination of medical fees
US20210020317A1 (en) Sensitive drug distribution systems and methods
US20120150562A1 (en) Health care product triage administered closed system
US20200082327A1 (en) Healthcare system for recording and monitoring transactions of system participants
US20090012814A1 (en) Service for managing medications
US7720697B1 (en) Systems and methods for pharmacy claims-based condition identification proxies
US20040143457A1 (en) Method and system for sharing personal health data
US20030167190A1 (en) System and method for preventing fraud and mistake in the issuance, filling and payment of medical prescriptions
US20210295971A1 (en) Sensitive drug distribution systems and methods
Sanna et al. e-Health
JP2002288336A (en) Method for processing diagnosis and treatment fee representative charging office work/information service business
Guerra et al. USA criminal and civil prosecutions associated with illicit online pharmacies: legal analysis and global implications
Szalados Ethical and Legal Issues in Contemporary Pharmacy Practice: Scope of Practice, Drug Use Stewardship, Medical Error Management, and Teamwork
Vulcano Tangential headwinds when integrating industry‐funded clinical trials into a US health care delivery system
deVries Identifying Vulnerabilities for Diversion of Controlled Substances to Inform the Safeguards Needed in Canadian Hospitals to Protect Patients and Healthcare Workers
KR20160077192A (en) Complimentary trade drug delivery system
Laws Kentucky
WO2003046792A2 (en) Pharmaceutical product sample distribution method and system
Strickler Prescription Drug Monitoring Programs: An Assessment of the Evidence for Best Practices
Seasons Pharmacy Legal Toolkit
Carneal Quality Improvement Initiatives for Pharmaceutical Care
Hendricks Notice of Meeting and Agenda
Bernacchi Are You Prepared?
RULE INITIAL ECONOMIC IMPACT ANALYSIS OF THE PROPOSED ELECTRONIC PRESCRIPTION RULE

Legal Events

Date Code Title Description
AS Assignment

Owner name: BARCLAYS BANK PLC, AS COLLATERAL AGENT, NEW YORK

Free format text: SECURITY INTEREST;ASSIGNORS:EUSA PHARMA (USA), INC.;JAZZ PHARMACEUTICALS INTERNATIONAL LIMITED;JAZZ PHARMAEUTICALS, INC.;REEL/FRAME:028724/0604

Effective date: 20120612

STCB Information on status: application discontinuation

Free format text: EXPRESSLY ABANDONED -- DURING EXAMINATION

AS Assignment

Owner name: JAZZ PHARMACEUTICALS INTERNATIONAL LIMITED, CALIFO

Free format text: RELEASE BY SECURED PARTY;ASSIGNOR:BARCLAYS BANK PLC, AS COLLATERAL AGENT;REEL/FRAME:036089/0633

Effective date: 20150618

Owner name: EUSA PHARMA (USA), INC., CALIFORNIA

Free format text: RELEASE BY SECURED PARTY;ASSIGNOR:BARCLAYS BANK PLC, AS COLLATERAL AGENT;REEL/FRAME:036089/0633

Effective date: 20150618

Owner name: JAZZ PHARMACEUTICALS, INC., CALIFORNIA

Free format text: RELEASE BY SECURED PARTY;ASSIGNOR:BARCLAYS BANK PLC, AS COLLATERAL AGENT;REEL/FRAME:036089/0633

Effective date: 20150618