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. 2014 Mar-Apr;23(2):123-8.
doi: 10.1111/j.1521-0391.2013.12078.x. Epub 2013 Aug 30.

Prescription drug diversion among substance-impaired pharmacists

Lisa J Merlo  1 , Simone M Cummings, Linda B Cottler
Affiliations

Prescription drug diversion among substance-impaired pharmacists

Lisa J Merlo et al. Am J Addict. 2014 Mar-Apr.

Abstract

Background and objectives: Prescription drug addiction is a significant problem affecting healthcare professionals. The purpose of the present study was to identify common mechanisms of prescription drug diversion by pharmacists, in order to facilitate the development of effective prevention programs and policies for this high-risk group.

Methods: A total of 32 pharmacists (71% male) who were being monitored by their State professional health program (PHP) due to substance-related impairment participated in anonymous guided group discussions.

Results: Participants documented six primary methods of drug diversion by pharmacists: (1) taking expired drugs that can no longer be sold by the pharmacy and are awaiting disposal; (2) assuming responsibility for managing the pharmacy inventory and/or changing inventory records to prevent detection of missing drugs; (3) forging prescriptions for themselves, family members, friends, or customers in order to gain access to the drugs; (4) using "sleight of hand" techniques to acquire drugs while filling prescriptions or shelving products; (5) blatantly stealing drugs from the pharmacy, even in front of coworkers or video cameras, and (6) collecting patients' unused medications and keeping them.

Conclusions and scientific significance: Efforts to address the problem of prescription drug abuse and diversion by pharmacists should be expanded in order to safeguard pharmacies and the patients they serve. Future research should extend this study to larger samples and assess best practices for decreasing prescription drug diversion by pharmacists with addiction.

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Conflict of interest statement

The authors report no conflicts of interest. The authors alone are responsible for the content and writing of this paper.

References

    1. Riggs P Non-medical use and abuse of commonly prescribed medications. Curr Med Res Opin. 2008;24(3):869–877. - PubMed
    1. SAMHSA. Results from the 2006 National Survey on Drug Use and Health: National findings. Rockville, MD: Office of Applied Studies NSDUH Series H-32; DHHS Publication No. SMA; 07–4293; 2007.
    1. Inciardi JA, Surratt HL, Cicero TJ, Beard RA. Prescription opioid abuse and diversion in an urban community: the results of an ultrarapid assessment. Pain Med. 2009;10(3):537–548. - PMC - PubMed
    1. Cicero TJ, Dart RC, Inciardi JA, Woody GE, Schnoll S, Munoz A. The development of a comprehensive risk-management program for prescription opioid analgesics: researched abuse, diversion and addiction-related surveillance (RADARS). Pain Med. 2007;8(2):157–170. - PubMed
    1. Baldisseri MR. Impaired healthcare professional. Crit Care Med. 2007;35(2):S106–116. - PubMed

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