Tobacco Documents Online

othec•aire"  An interview with James R. Kimmey, M.D., M.P.H., leaves little doubt that a ntajur ne,,c voice is f;uing to be hearcl, and a majcrr nevr force felt, in the debates and acticm, that ~hape the future of health care in the United titate,. The voice and the force are those of the American Public Nealth As- sc>ciati,m, c,f which I)r. Iiinmley ha~ just been namecl executive director. In existence since 1873, APHA is hardly new as an organization. But it is nr,w unelerg,,in}; a nletanlt,rl>hc,sis-a change in goals, policies, and ac- ti.-ities-scr extensive that the associatiun which emerf;es from the pr(>cess will qualify as "ne\\-" in every sense but nanle. In the making behind the scenes for se.-eral years, the change came to light at last November's annual meeting of APHA. Reports at that time. in both the meclical and lac 1>ress, spoke of a decision by the 97-year-old organization to become a chanll>inn of the consu»ler of inedical care ... ancl to challenge the American Meclical Association for health field leacl- ershil,, on the ground that AMA does not adequately serve the health neecls of the public. The change in AYHA became official in March \N•hen a new constitution Nvent into effect. hi;;ht off, Article lI of the constitutirnn-"Ubject"- sets the stage for the association's new role. The original Article II de- clared siml,l) that "the object uf tlv, asse,ciation ib to protect and prc,- mote public and 1>ersc,nal hea)th." The ne%t• clr,eunlent announces that AYHA exist> "tr, protect anci lrrul7lrne lrersrmi,il «ncl environmental health. It shall exercise leacler.shil, \vith health 1>rc,fe',sirmals and the general pub- lic in health policy development and actirm, with particular fucus on the interrelatinn~.hil) between health and the quality of life, and on develop- ing a national policy for health care ancl serrice, and on solving technical prublem~,". Action Board: Another key provision of the new constitution is the one that establi,hes an "Action Board", whose function "shall be to formulate, plan, organize and pursue the iml>lementatiun of association policies and positicros, including develolmient and l,ursuit of an annual legislative pro- graal>.,." ( Two mcmths later, in lune, the Action Board went into action-on a front directly involving the drug field. APH A brought suit in federal court to force the Food & Drug Administration to release the findings of all the efficacv, studies conducted by the National Academy of Sciences National Research Council, an(1 to renun•e from the market inlmediate)y all those products held ineffective. Although the studies involved about 4,000 products, and were completed two years ago, FDA had thus far acted on only about 2; ;i' , the suit claimed. ) Enter Dr. Kimmey, appointed executive director on August 1, charged with makinf; the nev~- AYHA a reality. An interviewer comes away with the strong impressic>n that-del>ending on how 1>harmac.•, the phanna- ceutical industrv, medicine, government, and others involved in medical care regar(l the new course the American Public Health Association has chosen for itself-thev will find )ames R. I:inmiey a formidable allY or a fonnidable foe. At 35, he is the youngest person ever to hold the executive directorship of any national health or medical organization. He is articulate, aggres- sive-and con.•inced that the "health establishment" in the l-. S. has made a mess of the distribution of health care. Is APHA1 determined ^t(> 1 take 4aealth field leadership 11aM•ay f'rr10i the A;N1A? "That's too sensational a way c>f Wontii>(rcd on Ya.fir 41 ) COOL-VAPOR HUMIDIFIER •"Air ramp" design provides maximum delivery of ultra-fine mist. • 1r/rgal. cap. runs up to 20 hrs. on one filling. • Sturdy, high-impact plastic base. Model 265 Suggested Retail $15.95 Dir. cost (std. pkg. of 6) $47.85 Reg. d,r. cost (less than 5) $9.57 . ' Speciai ' : ~ I ~ree with :p ~ othec•aire ~ . , ; Cool-Vapor Humidifiers and Steam Vaporizers Take on - and beat - any competition with these popular Apothec-a'ire units. They guar- antee you and your customers dependable Hankscraft quality - PLUS competitive prices that give you a full 0% profit! : AVAILABLE ONLY THROUGH : .• . . : : YUUR W}4DLES,ALER. HANKSCRAFT COMPANY Reedsburg, Wisconsin 53955 ApothPc -aire' STEAM VAPORIZER • Low silhouette design increases stability. • 1-gal, cap. runs 8.10 hrs. on one filling. ~ • Dependable heating element with twist-on top. Model 260 Suggested Retail $10.95 Dir. cost (std. pkg. of 6) $32.85 I ~eg, dir. coIst, (less than 5) $6.57 Also Stock Apothec=aire Vapori2er Fluid and Cleaner Tablets for Added Sales •.•-'-.., -,ecreT . e-.,,...,1,.. 7 1970 Inrprprefrng tht Ne-s • 15

r WINDOW SIGNS announcing cut prices on prescription drugs could become com• monplace, if the United States Department of Justice had its way. See story. Justice Dept. Wants II Restraints 6n Rx Ads I 16 • Interpreling the News AO ERICAN DRUIbG'~T • $epiemblelr 7I 797C

AMERICAN DRUGGIST THE A\TITIa-ST DIVISION of the t-. S. Dept of ]ustice believe,, that state laws and regula- tions w•hich restrict prescription drug advertising should be repealed. It has called on the Council of State Governments to take steps in this direction. Composed of representatives of all states, the Council publishes an annual listing of "Suggested titate Legislation", which has considerable inflnence in state capitol~,. Roland W. llonnem, director of policy planning of the justice Dept Antitrust Dirision, also singled out prescription ad restrictions as special targets for action in recent addresses before the American Bar Assn and the Assn of State Attorneys (Jeneral. 'Artificially high': According to Mr. Donnem, about 29 states, "either bv statute or regulation, generally prevent the advertising of prescription Eliminated f drug by name or price, and about 10 prohibit the use of ternTs such as 'discount', 'cut-rate', and so forth in the advertising of prescription drugs." NIr. Donnem claimed that "the principal effect of restricting drug advertising is sharp curtailment of price competition, with resulting stabilization of retail drug prices at artificially high levels. In view of the alarming rate of recent increases in generil health costs, which fall especially hard upon the elderly and the poor, it seems that sound economic artld social ,poliqv dictate I,tllat, am. il competitive re- straints which have the effect of raising drug co,: should be kept to the minimum required by consi,l- erations of public safety. "Thus, w•e suggest that the states, which bear a portion of the burcten of high drug prices under the \Iedicaid program, re-examine the essential premise upon which the advertising restrictions are based : that is, that the advertising of pres:~rip- tion drugs will endanger the public health \'t e are inclined to believe that the premise is largely er- roneous. Other restraints: :\Ir. Donnem also wants the states to take action against what he described as "other market restraints affecting the retail drug industry". He cited "such things as the laws and regulations which limit drug store ownership to pharmacists, require that establishments sellinz drugs at retail be managed by pharmacists, regtt- late the number of pharmacists which must be em- plwryed. car eslxabii~lT tllzt ptllarmacists. maist be ol- duty during a store's open htnus-ever,i if the plTar- macy section is closed. "In addition to the requirements affecting own- ership, management and employment, some state laws and regulations directly affect operations in other ways. For example, there are state provisitmz~ which require the physical separation of the retai'' drug department from the non-drug area of a more general merchandise store, mandatory separate en- trances to drug and non-drug areas, prohibitions on self-service as to non-prescription drup, pro- hibitions on membership or 'closed-door' opera- tions, and control over the content of extcrnal identifying signs." In Nlr. llonnenl's view, "w•hile investigation may show specific law•,, or regulations to be justified by health or safety considerations, ts, the restraint~, mentioned here seem to nnclulv interfere w•ith coni- petition," i AMERICAN DRUGGIST • September 7, 1970 Inlerprebnc thP Ne- • 17

Does Mass. law allow substitution? New measure requires physicians to include generic names on Rxs for all drugs listed' in special state formulary A bill -which apparently will al- lclw :tlassachusett~.' hharnlacist~, tu dispense whatever drug brands the\ wish, on n1o1st llrescripti(lns, has been signed into , law by (;ov. l=rrtti- cis tiargent, t n(ler the law, a5 memlaer cnnl- ntissi,m will compile and nlaintain a list of all drurs ccminlo~n1\ 11re- scribe(1 in the state for which thera- peuti: equivalence is recognized in bc,th brand nanle and ,;eneric ver- S1c~11~. Required: Nltis;achusett~- cloctor,, wili then be required to include generic nanle_ un all hxs for clrui;,, appearing in the formulary. The\- will be permitted to sJleci7Na brand name as well-but pharmacists pre- sumalll\ wili ha-,e the (rl)tinn tu (li,- 1lense an-,- versiun, of the (Iruc~ that ther have on hand. "Yresunlal,ly", 1>ecause there is snllle (luestiom as to whether the ne«• 1ueasure in fact sanctioms unlimitecl sttbstitntinn. Rel1. l. E(lwarrl tierlin, l>rincillal sllon~,or of the ne.\• law, contends that it does. He sars it overrides ~la~~tlchll~etL• e\15t111~ a11t1-substl- A NEW substance, possibly a hor• mone, has been discovered by Dr. V. M. Buckalew Jr of Emory U, which appears to act on the kidney to cause an increase in salt excretion from the kidneys. Here, he is using a device to deter- mine if the sub- stance inhibits salt transport across a toad bladder. The research is sup- ported by a grant from the, Natiortal Insti'tu'tes"of tntl()Il ,tatute. This view i.,, shareri by Carl Rubert-,. head of the .aluer- can Pharmaceutical Assn's legal clepartment Benchmark: Althuugh ANh.-\ clichl't have anything to do with lla.,sage of the Serlin measure, the organization regards its passage as a significant step in its campaign to relleal anti-stlb5titutiun laws throughout the country. The \] assachttsetts Yharnlaceuti- cal Assn remaina uncertain abuut ex,utl\ how the Serlin bill affects llharnlacists. Assuciatinn secretarv, Lonlis 1'erlrtttt puint., uttt that the llharmacist NN•hu is handed a 1>re- scrilttiK:i11 citing 63th a 1>,rali(1 aitrl generic nanle is faced with a cli- letT finla. Liability: "lf the (luctur goes to the trouble of citing a specific brand. llresunlably that's the drug lie want~, (lispen.se(l. Even if the llharmacist is legally authorized to ~ substitute another product. we think that if lte (lc1es so, lte may be placing him- self in real je(lllar(ly if, for am• reason, the generic item fails to per- f,)r111 in a way that satisfies the pre- scriber. \\'e tliiuk that under sucl, circttmstance~,. the l,harnl<<ci~t' biliv,m-iv be tremenrlnn~.." l~n(ler the Serlin llill, the fornlu- lary ccmmii~-:~irllt l which will 11rol,- al)l% include rnle ptlarnlaci,t menl- ber I will make it~, asse.~sment of theralletttic ecluivalency n1l the of existing material. inchl(linl; ]lita) i(irnlularie:, tl~ecl in :11ri~,,achu- aetts and elsewhere. ln Mr. Yermut', view, thi~, i,~n't 11(mll enough. "The Funrl & ] )ru;g .Mministrati{ln isn't allle to attest to the tTeneric equivalency of all ltlulti111e-sclurce clrttg,. 1•-Ic1w can thi~, c(,mmi~,si<m, which (loesn't have any scieltific re~ ~urc~~, be expected toy (l(1 ,u' And huv- can irt(lividual l,lharltlacists pu„ihly (1o S_` .\lr. Permut said he had at- tempted to have the Serlin bill amencle(1 so a~, to shecifi that fc r- nlulary itent,, must be certified a~, generically ecluivalent 11y the FI)A. This effort wa,~ tutsttcressfui, he said. Education: Rep. '~',erlin told A\iER1C'Aa ]]Rt'(-,(;1RT that Stu lt after his bill is inll>lementeci, he ex- Iora't, l~lt arai~.ar~; tj,atrotti! to ct;a-t a,l.",~ inr phttrm.acist!, to (lisltelase gener- ic., "My bill had the backing of clr- ;1anizecl labor in 1lassachusetts, a~, well as senior citizens and other co~nsnnier gro1n11~,." lie saicl. "I think these urhanizatiuns will go to sc,mr lengths to e(hlcatc their nlenlher~- ahuut the benefit,, of my bill. :\s a result, Nlassachusetts 11}larltl•lcist~, will be compelled to 1 stock a lrn):ul line of generics for cun111etitiNt.1 re•is~ ms. The AYhA believcs th,tt, in a short time, the recluirenlents of th(, tierlin bill will prompt Ma,.achu- setts (lucturs to st~(rt writill', Tcneric llrescrilltioms alrllost exclusively. 'I-h(• Serlin bill exclndes patented (lrug~-, for which, as a rule, i;e•neric ~ N'r,i~ 1n; art•i Ithla;i~ttiiltlullc. pil I 18 • Inferpreiinp Ihe News AMERICAN DRUGGIST • Seplembe• 7. 1G?0

Consider all the nice things you can get with S&H Green Stamps. We'll give you 1200 free stamps- that's a full book-if you also promise to consider all the nice things a stamp program can do for your business. I accept your "bribe." Send me 1200 free S&H Green ! r ~ t Stamps-along with an S&H Representative to tell me how a trading stamp program can help my business. ~ Name ' Firm Name ' ' ' Business ' Address ' ~ City State ' Zip ! ' , Phone Area Code ' ' ' Mail to: The Sperry and Hutchinson Company, Dept. AD•35 ~ 330 Madison Avenue, New York, New York 10017 ~ AMERICAN DRUGGIST • September 7, 1970 ~ Inrerprerog ncc New, • 19

Ratio of drugs to total health spending drops Per capita amount was $30.58, or 12% of total, in 1969, vs. 14% in 1966, U.S. finds The typical American spent a total of S30.5i; on "drug, and drug sundrie." in 19t,9-11.9'- of his total ekpenl for all types of health care services. «,hich anlountecl to S2;(,.0-1. Bacl, in l9f><t, drug spending amounted to S_'5.3?, or 13.8~'~ of total health care exl>enditures of $1 83.12. These figures have just been re- ported by the Social Security Ad- ministration. rm the basis of a spe- TO KEEP FALSE EYELASHES properly shaped, dust-free, and on view for in- stant selection is the object of this new dressing table accessory, offered by Tacron Products, Freeport, N.Y. The transparent blue container is made of Bakelite polystyrene. In addition to holding 8 upper and lower lashes, it also stores applicators and adhesive. i y,i , 1 1 20 • Interpreting the Ne.v; cial study conducted by Barbara S. Cooper, of the Division of Health Insurance Studies of the SSA's Of- fice uf Research & Statistics. Another way to grasp the signifi- cance of the data is this : 19l per capita expenditure of $30.58 for drugs and drug sundries represents a 20.8% increase over the 1969 fig- ure. Un the other hancl, the S25(t.04 total for all health care spending last year represents a 39.9% increase- almost double that for drug,. "llrugs and drug sundries" is the gl ernnvent's language for the cate- gory of products that consist,, largely of inedicatiotls-prescril,- tion and non-prescription. dries" refers to first aid itenls, ther- monleters, ancl a few other sick room supplies. In dollars, ph\•sician's services accounted for most of the per-capita increase from 1900 to 1909. But in percentage of total, hospitals and nursing homes were the only cate- gories that showed increases. The follorl table gives tlle picture. For botll N ears, it shows per-capita dollar outlavs, by categorie-, ... and the percentage of total represented by each category : 196f oo+ To'o~ 19!•9 ~ioo! TotaN Hospital care .. 71.22 38,9 109.75 42.9 Physician services 44.60 24.4 58.04 22.7 Other prof. services ..... 20.15 11.0 24.92 9.7 Drugs ........ 25.32 13.8 30.58 11.9 Nursing home care ....... 7.08 3.9 11,75 4.6 Other health services ..... 14.75 8.0 21.01 8.2 Total ...... 183.12 100.0 256.04 100.0 By age: A srmlewhat different picture emerges when the figures are broken down into two age groups-those under GS, and those 65 and over. All per-capita figures are higher for the ().;-plus group. For exanTl,le, the average oldster spent $i9.-18 last year on drugs, compared with only $2' 5.45 for the typical person under 6; . How the dollar amounts and per- centages of total vary for the two age groups is shown in the following tabulatir,ns : Under 65 19h• Hospital care ... 59,90 Physician services 41.92 Other prof. services ... . . 20.02 Drugs ......... 21.51 Two 37.8 26.4 12.6 13.6 D914 86.09 52.91 24.64 25.45 40.9 25.2 11.7 12.1 Nursing home core ....... 1.12 Other health services ..... 14.03 0.7 8.9 1.30 19.91 0.6 9.5 Tota 1...... 158.49 100.0 210.30 100. 0 65 And Over I 9r: TWO `9^_ -_ - Hospital care .. 181.54 42.9 335.28 48 4 Physician services 70.73 16.7 106.99 15.5 Other prof. services ..... 21.40 5.1 27.61 4.0 Drugs ..... ,.. . 62.41 14.8 79.48 11.5 Nursing home care ....... 65.05 15.4 111.40 16.1 Other health services ..... 21.83 5.7 31.46 4.5 Total ...... 422.96 100.0 692.22 100.0 Private vs. public: All the firttr e- thus far reported refer both to money sl,ent from the inrlividual'~, lmcket-prirate exl>enditurl =anrl ptlblic sltending, mostly in- volving :tl eclicaid. 11 eciicare, ancl similar llrugranls. \\•ith respect to drugs, the incli- vidual is still pretty much spendin:,, his o„•u money, regardless of a;, e. In 1909, pttblic funds accounted ftir 5?`:'r of per-capita drug exlTendi- tures, comparecl with 3.3"~ in 19W Fctr people 6: aald tW\ er. tlwe lQ(P lmblic" ratio was ll.t`)"_; . . , against i.0(',e' three years earlier. For people ttnder G;. public spending accounted for only 3.1 r(' of the indiviclual's drug outlays la~,t vear, compared with 2.01 ; in lui,i, These low percentages reflect primarily the fact that Meclicitrc drtes not yet pay for out-of-husl)it;tl drug expenditures for the elderly ... while most Medicaid progrmll~, while the\ du co.•er drug.,, co~\er thenl in limited fashion. Contrasting with the drng data, the governnlent report show. th:u public funds accounted for 3' :~.t,r, of total health expenditures for thc average individual last year. Fur people over (,5, the ratio wa• 72.1 r. For thuse under (,;, it was 23' . AMERICAN DRUGGIST • Seplemlbe• 7. 19'C•

Package Power Plus... • New Formula • New Profit • And a"Peach" of a deal pARKE--DAVIS j I II I jnlPrpretuqq thr NEV,• • 21 AMERICAN DRUGGIST 0 September 7, 1970

. ve w, , .. abUild onwide ' .~. A{nfinnWit~e. on! C~ ~h/! Iar4eSt ~+it.l~ _~~3MJf"~ ~"34i ~+~++~ insure you and your employees for work- " mation +aodi fhe maA from ationwide. ~_y d ,~s h { ~ ro ,ce surance needs. One Nationwide man can :~. For complete business ins o ur .. ~ . _,..~w.,. ~~~. . . take care of virtually all your business in- =-protection is ali about. u s g businesses. like your ra ^ f Protection coverroqe'Ai `"' prt#attycioUs3rsess• thaPs w~a~~la~li~ ~= 5^, Wall O ry f110 :^ Of ~,,, R...= .....Y. ~ W~ .~,... , cializes in protection programs d , za once oryan O/1~~+ad{J ~AO~is1~ ~~ ^ s ~ natwa+e aQe-~=~Zn~~P~D~c~sx~~~~ tions in tfre i t an men's compensation, hfe, hea pen-..,,t -,, y_~ C~, -~...,,,~ >. s11'ol{ dTroQedfon. lationwide Insurance

PMA acts to improve liaison... V.B ... w,ith pharmacy by naming Ruggiero to keep in touch with profession's `grassroots' The }'ltarmacetttical \lanufac- titrers A.~,tl is illakill,'' an et'f,rrt to open new line~, (of cr,rrllnUllicatir,n with rank-ancl-file 1>harnl,tcist~ of the l*. S S. As a fir~,t step. }'\1A has ap- 1„,illte,l 1)r. I()hn Rul;;gierr, dean of I tu,llle,ne Culletc r,f f'hatrnr:tm to sen r a~, its 1.>liarnlac\ relatirm~, cc,n- <tllucnt. I)r. htl;;#;ier(i is l,resentl\ 1)n ltlc;nr. un ler,vr from "l'IC'• 9()illt; t() he c,Ur 1H)int of cr,n;ac: with nr„;.cnize,l l,harlltxcy," I1:1 Vice l,resitlt•nt I)r, l(,hn A(k;lr,!, t„]cl A m t.hic.~N I)xt cu;t<•t 1i1~, t rr tlil'~la. Grassroots: "He's also going tr- <tct rt, tru,r,it"r r,f what l,ltarmttciNtl are t:,itlkin, at the grrc>;rur,t., level. \\ e*rr nr,t alw:t~ . cr+nvincecl that the -~t,ttrmetlt~ i~snecl by the Anleri- ct:n I'ii,trnl;icelttictcl A~,sn: iatir,u ttl- tva\~, rer'lect tltt• vie\r, of the n:c- tit,n', 120,(u0H lth,,trmaci~,t,, (Cr fur that tll,,tler, e\ell the t•iew, r,f tlu ~tt,tttlt) :~}'11:1 nlenlber~. r,lll\ cite AI'llA. because they are tllr nl„>t vr,rcl tli tlle 1>hrCrltlrtcy urranizEtti„n . Iltlt, the stulle Qtl,- l,lie., tc, the \tttirmal A.snci<ttilm uf Retail 1)nll;;;ist, and other ltllar- t11acV gruttl,.,. Thrc,tl;,ll hi, visit, tr~ st tte and 1„rtl l,ll;irluacv assr,ciatinn illeetitm„,, xNe t'Ililklti H')r Ru;;pa•rco will be able tn give its an incle•- l,enclent a,sessnlent of what 1>har- maci>t~, think al,uut sunie of the comtruversial facing the ltru- fe,siuli.- Altlwnl;ll 1)r. Aclanl, clicln't nlen- ticrn it. the snb;titutiun cluesti,m- parti;nlarlx the A}'h:'1 Hnuse uf llelegate!~ altl,ruval uf a drive for repeal of the state arni-silhtititntiun laws-lrre,nnlal,ly ratlk, hif;h rrn thc• list of inlix,rtant issne". Anutller uf I)r. Kn;;I;ieru's func- tir,n, will be tr, transnlit l,llarnl:tcy's l,rc,l,lctu~, and ccnlll,laitlt, tu I"tlA in c,rcler tc, see if st,ltttic,n, can't be \N•urkecl out lrefrre these issnes get rntt of hsulcl, 1)r. Aclanls said. Frustrated: I-ur yestrti, l,harnl:tcy II~, AMERICAN DRUGGIST • Sep,embe, 7. 197C, Ila,, been fru.tratetl l,\ wh;it it cun- siclerz, to be its inal,ility tc, cliscil." inclntitr~ \vicle lrractices with clrllf; ll1a11111 act itrer.,. As 1>art of it,,, cat111,aiI;t1 to inl- Irrute relatirms with 1>hannacy. I'MA has alread\ held a clinner meetinl- between sc,nle (of its r,wrl staff nlemhers and those of the A 1-'1tA. Similar llleetin-., are schetl- ulecl with the ,tat1 ~ of the '\'A h I) and rrther l,ll,crnuccy ;:rr,ulr.'. Acc„rclin;; t() 1)r. Aclanl~,, crea- ti,m uf a new pharmacist adviso,ry co,uncil is being ,l; cnntenll,l:uc•cl by I'\1A. In anN e~ent, he saiel, an ef- fort is gr,inr tr, be rrrcrle in the nl- tllre to, s.)licit and \vei;;h l,harnl:,cN ti view 1, l,efnre I'\lA act, in ttrea., whici; will llltinltttel\ sttirct the l,rr- fe>-i. ,t; Mediation: I'\l:\ is aware that. i,ecatt.,e „f tlte cleel, rli\isi,nl., «itilil, the 1>rr,fe,siun. ul,t;tinin;; it cr,ti~erl- su, frurrl ,l,hartllac\ is not alWay• e,t<\ .} le inclicatecl that I'\1:1 is l,re- ltrecl to assttnle the rnle uf nletliat()r lu•tween theA I'll:\ an<lthc \AR I), althnitgll he warnecl that P\1A xvuulcl l,r ,ceecl cautir,utily in this rt,lc•, in urcler to, avuicl arl itnNvantecl intrnsi(m in the internal affair~, uf the r,rganizatiun.,. I)ir Aclatxt, nr,tecl that the l,lt,ir- nlacy liaisun l,u;t has existed at }'11A for 3 year6• but that it has been tmfillecl ttntil nu\c• l,ecanse uf inal,ilit\ tu find the right nl:u'. WHAT'S COMING Sept. 9-12: National Assn of Chain Drug Stores, pharmaceutical conference, Conference Center. Wil- liameburg, Va. Sept. 13-15: Pharmaceutical Wholesalers Assn. midyear meeting. San Diego. Calif. Sept. 18-21: American College of Apothecaries. annual convention, Milv,aukee. Sept. 20-23: Federal Wholesale Druggists Aasn, annual meeting, White Sulphur Springs. R. Va. Oct. 18-20: National Assn of Re- tail Druggists, annual convention. Atlantic City. Oct. 23-25: lational Catholic Pharmacists Guild. 8th annual meetin€, Holiday Inn. Baltimore. Nov. 14-19: National Q'holesale Druggists Assn, annual convention, Miami Beach. Nov. 15-18: APhA Academ} of Pharmaceutical Fcienc". 9th na- tiona] meeting. a ashingtun. D.C. Nov. 30: Pharmaceutical '`tanu. facturers Assn. midyear meeting. Vt'aldorf-Astoria,NYC. Dec. 1: N.Y. Chapter. APhA. Remington Medal dinner in honor of Dr. Don E. Francke. Hotel Roo- -evelt. NYC. Dec. 6-10: American Society of Hospital Pharmacists. midyear clin- ical meeting. Anaheim. Calif. Feb. 21-25, 1971: Toilet Guods A4sn meeting. Boca Rat„n, Fla. Mar. 6-11: Drugt:ist,' ;ernic•e Council. annual meeting and tradr show. Waldorf-Astoria, NYC:. Mar. 14-18: Pharmaceutical Wholesalers Assn. 15th annual con• vention, Dunes Hotel. Las Ve€as. Mar. 27-Apr. 2: American Phar- raae•ewtical :i~m. arnntaal mesting. San Francisco. Apr. 18-22: National A-n of Chain Drug Stores, annual meet- ing. San Juan, Puert,- Ricu. From Frye's salicylic acid to zylobalsamum Fur thuse • ncstalgic alxntt the drug business generations agu . . . and thr,se with an interest in 19th cetltury Americana, a lx,uklet jtist lntl,li,llecl rel,re,cluces a secti,nl uf the 1987 catalc,r of Meyer l,ros. & Cu., wholesale drug hurt,e of tit. 1,cnli,. Nanle t,f the vulunle is "Patent 1leclicine., and I'retl,rietary Arti- cle.,". It is available at S2.30. lrlu~- 2;r lmstawe and hanclling. frt~ul titcntyl,rr,nh :lsauciatc•s• I,us H. I'rince(,u lttnctiun, O8:~:,CI. A -lc,-l,at;e product li.,~tinw st;trt, ~+•itlt "acicl• Frye', };ranular lic", retailing at St, per clure•t, - and entl~, with z\.lulutls:tnrttnl, \lr, tl„zeu. per I r: •~, ,.. n., ~d; „• 23

FDA bans cyclamates, altogether MOTORIZER HEART CARE: Almost immedate medical care can be brought to heart attack victims with this mobile medical unit. Dr. Nanette Wenger, of Emory U, in Atlanta, left, is shown with Dr. Charles E. Harrison Jr, Atlanta Falcons team physician, and Dr. Bill Walter (driving) of the Grady Hospital Cardiology Service, gathering very early electrocardiographic and physiologic data from a heart attack patient stricken at one of Atlanta's athletic stadiums. Photo courtesy of the National Institutes of Health. APhA's Whitten asks NACDS to survey chain stores' employment practices The president of the American Pharmaceutical Assn has asked the National Assn of Chain Drug Stcrre~ to conduct a survey of its member chains "in or(ler tc, deter- mine their present eniplr,yment poli- cies and practices." The sttf;vestVnrt cante from \\'il- liam R. Whitten, who tvok office as APhA lrresi(lent last April. He is the owner of \'l'hitten Yharnla- cies. a 7-unit chain in Fort Worth, Texas, which is itself a member of NACD~;. Robert I. Iiulger, executive vice president of NACD.S, told Nlr. \'l'hitten that the idea of a survey of chain employment policies and practices "has great merit". He noted that NACDS recentl\. added to its staff "personnel to begin work to collect data on the chain drttg industry. During the next vear, we plan to condtut several surveys, including one on employment poli- cies." Complaints: ?\ir. Whitten told a nneeting of the Texas Pharm,acet1- ticaj Assn that he srigges4eil tile survey to \ ACDS because of "com- plaints received from chain phar- macv APhA members, regarding working conditions as well as the opportunity afforded salaried phar- macists to exercise professional judgment and prerugative,." I-Ie told \ACL)S that if it >wtn- dert(rok a survev. APhA would gite "full cooperation and assistance. Stuh a survey would bring to light information about the average «-ork- v,•eek, average number of hours per shift, overtime policies, non-profe~- sional supervision of pharmacy de- partments, and other working con- ditions . . . Armed with the facts. I APhA ] will be even more effective in our employee-emplover rela- tions llrograms." $2,500 to St. Louis school St. Louis College of Pharmacy has received a gift of $2500 from the Merck Company hottn(lation, on be- half of I`t erck Sharp & llohme I)i\-i- siu'n of Af ercl< & Cni. The great cyclamate 1>rr,uhah<( has drawn to a close with the dec- larati(,n by the Food &- 1)rul; A(1- nlinistrati(,n that, hencefortll, the chemical cannot be use(1 a< food ad- ditives or drng> under any circtinl- stanceti. l'ntil FI)A issued it~, latest cycltt- mate order last fortnight, it had been a' ssunlerl that marketing c,f c-,- clamate containing sweetener~ and f(luels would contintle. 1>ruvi(ling such ltr(ulucts contained a warning that they •,vere to be used onlv under the sttl,en•isirm of a Ilhysicial+. •. a rely()rt of an independent \rn% gm"ernmernt a(h-i:.,lry l;roul, un cY- cltullate~, has cnnviilce,l Fl)A that the u,,e ,Lf cyclatlattte, in any signi- ficant (lnantit\ lrre"ent, it 17nssil,le hazard t„ 1>atient.,,. The cyclanlatez, controversy fir~,t aro,;e last :,~ear when it was di;c(,v- ere(1 that rat> t,l whom high dose~ of the chemical had been a(lmini~- tere(l (levelupe(t bladder cancer~,. Followinl; last fortnil;ht'.-, an- nntmcenlent, Abbott Lall,, the na- tinn's largest llr(xltuer uf cyclanlate sweeteners, said that it htts halterl pro,(lnction and (listrihtttion r,f all >Wretetarr> cv,ntainilag, cy.c1a.n]ate~. Cyclbtntate.,, were rema',\eol frc,m lnx,st of Alrl,utt's tincarN l line sr me- tinle ago. S(llnl)1) saltl it \\'ar halt111" (ll>- tributirm of it,, artificial sweetenin, pro(hlct.,, marketed tm(lrr the S.j•eeta name, that new, non-cyclci- mate version c,f the item., are cttr- rent lc tm(ler (levelopnlent. Confusion: At the monu•nt, there is some confusion abuut the status of otttstan(linl; stocks of cyclamate containing pro(lucts. It is 1>elie\ecl, however, that pharnlacist~, an(l others will be pernlitte(1 to c(mtinue selling these until theN are e.- hauste cl. The statn, of llrescrilniun (lru;: llroclucts Nvhich involve thc tt,e ui' cyclamate cuntaininl; syrul,>, ctc., i~, als(,} il~ y1lnu1'Pt1l 24 • Infnrpre/mq the News AMERICAN DRUGGIST • Sep,embe, 7 197;

DI-GEL 41°lo PROFIT OFFER DI-GEL prepacked counter unit No. 1959 S. 5% DISPLAY ALLOWANCE* WsioMAcH' ti~ NTRA GAS Y, FASTI ` Of ..C~onrwlydeC ~~ • ra00!!~~ u :d}•J:/0 Iopf ~ BUY: GET FREE: 2 Dozen 8 Tablet Vial 25c Size ($6.00 Retail Value) OFFER NO. 1959 CONSISTS OF: DI-GEL TABLETS Retails For 9 Each 30 Tablets, $1.00 Size ................. $ 9.00 5 Each 100 Tablets, $2.00 Size ............... . 10.00 DI-GEL LIQUID 6 Each 6 oz. Liquid Plastic Bottle, $1.25 Size ........... 7.50 3 Each 12 oz. Liquid Plastic Bottle, $2.00 Size ........... 6.00 GET FREE: 2 Dozen 8 Vial, 25c ......... 6.00 TOTAL RETAI L VALUE. . $38.50 REGULAR LIST PRICES* 22.75 PROFIT ....... . . . . . . 15.75=40.9% *Less Wholesalers Customary Discount. *5% Promotional Display Allowance on a single DI-GEL order must amount to $25.00 or more. Order must be purchased from wholesaler after July 1, 1970, and delivered before September 30,1970. Payable on receipt of wholesaler's invoice with letter attached certifying DI-GEL has been displayed continuously in a prominent location for two weeks or more prior to October 31, 1970. Claim with required proof of performance must be nuiled no later than November 30, 1970 to Plough, Inc., Co-op Advertising Dept, P. 0. Box 377, Memphis, Tennessee 38101. Memphis, Tenn. 38101 I ' I'I m ber 7, 1970 AMERICAN DRUGGIST 0 Septe In/erpre/rnG the Ne,-r • 25

What happened when top bank went broke? Eatontown drug store gained charge accounts, and physician got jittery patients \l'hat happens to the health hro- fessi<ins in a small town when the leading bank goes broke' Both of the drug stores in Eaton- twwn• N. 1. (pop. 10,33-f ), told A\tER1C'A1 DRUGGIST that n7anv of their cash prescription customers sucldenlv found themsel.•es short of cash and showed an interest in opening charge account,, at the stores. "It instantly increased mv patient loacl," I)r. George Henkel, a local mectical practitioner said. He re- ported that jittery bank customers lost no tjme in coming to him for medical advice ancl treatment-at the sanie time asking him to accept an I.U.U. for his fee instead of cash. A lesson: "It taught me not to keep niore than S?0,000 on deposit in anv bank at an\• one time•" a dis- traught retailer• who asked not to be identified, told A.D. He had almost $29,000 on deposit at the bank. The surge in charge account busi- ness was sparked v, herp Fe<leral aur thorities discovered a "nnisapl>lica- tion" of S' ; million of the fmid~ on deposit with the Eatontown Na- tional 13ank, declared the bank in- solvent. and closed it down on Au- gust 8th. Practically simultaneouslN •, depositors who had checking ac- counts with the bank found that local retailers would not honor their checks. Fully covered: Al Horowitz, manager of the Ritz Drug Store, had a personal savings account at the bank but sufferecl no loss because his account-less than $20,000- k•as fullv covered by the Federal 'Deposit Insurance Corp. However, man}• of the store's customers had both a checking as well as a savings account with the bank. \'1'hile both acccntnts were protected (the FDIC covers all types of accounts in a bank• not just savings accounts), their buving power was severely curtailed by the refusal of inerchants to accept their checks in payment for their pur- chases. M oreover, in manv cases retailer, were faced with the necessity of asking these same customers to make restitution for checks written for pre.-ious purchases. These checks had been deposited by the re- tailers but had not cleared the bank before it was closed down. As a re- sult, although cash deposits and de- posits of other checks were accepted and cleared in the usual way, checks drawn on the Eatontown bank were returned to depositors as uncollect- able items. By and large, "Mr. Horowitz said. the store had no trouble in getting customers to make good for the checks previously written. For the most part, lie added, the greatest "suffering" experienced by their customer> seemecl to be inconven- ience. Excitement: For a week after the closing of the bank, Mr. Horowitz said, the bank's plight was the major topic of conversation and the excitement generated by the "mis- appljcation" also served to slow down business activity. Bv week's end, he said, business was returning to normal. V. M. Alusto, owner of Eaton- town's only other drug store, To.,•n Pharmacy, told A.I). that at least 20 of his customers were caught short bv the bank's closing. "I hate to sav this," he said, "but the bank's shutdown, in a sense, was a blessing in disguise. It deniorr- strated quite dramaticallv for sonie of m'v cttstnmers that credit is avail- PRE-FIL is what Emko Company calls "a new concept for foam contracep- tion." The line features an appl cator that can be prepared for use up to one week in advance, the company says, "eliminating the delay of prepa- ration during the marital relations. A woman may prepare the appdicatR, at her leisure ahead of time .." According to Emko, "previously, foam contraceptive applicators had to be filled just prior to coitus." The company says the Pre-Fil line can "aid appreciably in reducing patient non-use and build greater acceptance of the foam method of contracep- tion ..." Also, says Emko, "the new technique helps to achieve more aes. thetic man•woman relations." able and charge accounts Nvarml\ ,welcomed at the Town Ph,trlnacY. A number of cu.tomers• Nvhtt \vere sontewhtlt timicl at first about a4-ing for creclit. have indicated that the\ will open charge account~ at the sto,reV We aT5 ih,phy tu Ihavc then'I 26 • Interpreting the News AMERICAN pRUGGIS1 • Septembe, " 1970

"In all." lie ccmtinued, "it was an exciting week. While some people mav have been inconvenienced, no one seems to have been hadlt- hurt. For mani- people, the excitement of a bank closing seemed to be a fun thing, not in the least reminiscent of the desperation that fell like a pall over people when banks failed in the depression of the 1y30• " Doctor's dilemma: Aside fr+m) the increased patient load. ])r. Hen- kel tolcl A.I). tltat the hank closing createcl extra work for him. (xhiite a few checks drawn on the hank brntnced and he nmw has to a,k his p.uients to make them guml. Other patients. he said, «•h(i had acconnts in the bank suciclenlx, were asking him for credit an(l this ha~, (itl<le(1 to his bool<1;eel)inl; chore, . Still other patients who nsecl tu l>aN, h~• check have had to pay the dc,c- t',r's fee in cash-or ask for credit. Dr. Henkel, lifie manN of the other townsl,enl}le, had an account with the bank, but his account Nra= fnll\- cw,-ered b.- TI)IC an(l he suf- ferr~l n,. la... Fred Lascoff dies at 69 Frederick I). Lascoff, a member ()f one of the countr~•'s most famou~, l,harmacetttical familie." is cleari at (>9. The \e«• York Cit%- pharmac\- fonnded more than 70 vears ago b)- llr. Lascr,fi'~ father. 1. Leon Las- cof{. cante to he one of the best knrnwn in the Specia,llizirtg in prescription Nvor1;, it hnilt a relnt- tation as a source for anv nteclica- tion or related hroclttct. no matter how rare or unnsual. One of the founding members of the American College of Apothe- caries, I)r. Lascoff served a term as president of that asr,ciation. He was a trustee of Columbia 1'niversitN- College of Yharntacentical Sciences, his alma niater. Charles L. Boswell dies Charles L. Boswell, president of Dr)rse~- I.aboratories, is dead at 53. A pharmacist, with M.S. and I'h.I). degrees in pharmaceutical c'ytemistn~,iDr.f Boswell joined llorr- se}• 1 6 )-ears ago. I •1o.rroi, ~r, Ih, Nr.w, • 27 rado.rtf..+s.wt1 TELE-NEWS Acne -a ma or teenager concern. A s_tudy conducted b;t an independent research company indicates that 77 of all teenagers use an acne medication for treatment. CLEARASIL'~' Vanishing Formula, already the #3 teenage acne remedy ,(CLEARASIL Skin Tone is #1J is introducing a new 1.2 oz. large size to retail at Sl1.39. Starting Sept. 10th there is a special 2 with 10 introductory allowance on this size, plus promotional allowances on all other CLEARASIL products. Consumer sales of Vicks" NX UILa.L Night- time Colds Medicine, are off to the fastest start in pro rietary cold product history. After a record breaking first year, consumers bought 47% more NYQUIL last year. But most important to the retailer, NYQUIL has expanded colds product market -- accounting for over 70%of its growth in the last two years.  Portable Cough Discs continue to be one of the fastest growing categories among pro rietary medicines with sales doubling over the last two Fears. FORMULA 44~ Extra Strength Cough Discs were again the #1 selling brand in Drug Stores in 1969/70, accounting for over 50% of total cough disc sales. 1970/71 sales projections for FORMULA 44 are even bigger. a Over 70,000 dentists have requested FASTEETH7 Denture Adhesive Powder Samp3es for use by their denture patients. The pro- fessional recommendation is an important reason why denture wearers buy more FASTEETH than any other denture adhesive -- cream or powder. Because it's #1, FASTEETH pays extra dividends when all sizes are given their share of facings on your denture product's shelf. a Still a great item after 65 e~ ars ! Vicks VAPORUB11 still attracts new users -- in an age ,where even the hottest new rp oducts are often "has-beens" after a few years. Last year VAPORUB outsold every external anal- gesic, every proprietary cough syrup (except FORMULA 44), every nasal spray, every acne preparation and all but one throat lozenge. (mdrrrt iurrnn+t )

uZAfl M Ortias ~ shaves losses with a Monarch lYlarking S ~~ C9 xvr4 6 8¢ When a would-be label switcher trys to lift this price label, it "seif-destructs." It's the Monarch Break-AwayT'" label-one of many Monarch inno- vations helping retailers protect profits through modern marking methods. Monarch's Model 28 Dial-a-Pricer is another boon to efficient marking. V: A total facts system that virtually eliminates clerk- customer errors at the point of sale. Seven clear characters can print your cost, supplier, classifica- tion, date, department ... whatever facts you need. Dial seven larger characters for the important price line. Speedy ... the motorized Model 28* prints up to 200 impressions per minute. Send coupon for helpful information on protect- ing profits with a Monarch Marking System. •Also available in hand operated unit (Model 23). -------------------------- I I'd like to know more about Monarch's Break-Away labels and Dial-a-Pricer marking systems. NAME- STORE._ ADDRESS AD-470 ciTY STATE ZIP & ._.__.__..-._.__.--_.-._____.__..-__._.._- MONARCH _ j12A.RKING SYSTEMS /ASubsrdraryof Pitney -Bowes O DAYTON, OHIO 45401 p 91; I!' ~ ~ ~ Ili;~ AMERICAN DRUGGIST • September 7, 1970 Ynrerprrr,ro ir, t.,- • 29

Upjohn expands home health care business National Pharmacy)likeek (ktober4-10,197U RESPECT FOR DRUGS is the theme of this year's National Pharmacy Week observance, scheduled for October 4-10. Reproduced above is one of the ads developed by APhA for participat- ing pharmacists. Other materials in- clude window banners, counter cards, news releases, edltorMails, radio and television announcements. A majur natiun'Wicle exl>ansiun i, planned by the t'pjuhn Cu. for a recently acquired subsidiary - Homentakers, Inc. Homemaker,, which t 'ltjr,hn bought last year, provides hcmie anrl other health care service, ranging frotn nurses and other paramedical personnel for private dttty, hospital staff relief, and geriatric care, to live-in cotnhanions, huusekeel>er~,. mai<l,, ancl cooks for im•alicls, the elclerlv• and at-hrmne cum•ale,cent patients. At present Humentaker, ha, about ;0 office~ frrnn which such aides are supplied. Over the next 5 years, according to Dr. Robert 0. Stafford, chairman of the board uf Homemakers, the cuntl any expect, to add more than -1' ;0 new offices. About 70 of these are scheclnletl tr. be in operation br next lnne. Franchised: Of the 500 r,frice, envisioned by 19i ;, about 1,1~~ will be company-o"•necl and operatecl. The other 31 ; will lie uxvnerl by franchiSees. Pharmacists with an interest in diversifying their health field ac- tivities, are considered anumg logi- cal franchise prospects, a Home- ntaker, spukesman tul<1 A'`t>;xtc'Ax I)kt (A,aS7. Tlte Iiivtnentitl.er, ,tl«er.+.tictt; relt- FTG okays shopping cart ad promotion The Federal Trade Cunmiision has no objectitrn to a ltrontutiunal plan under which supermarket shopping carts carry advertising fc,r products not sold in the supermar- kets involved. In fact, the Cunmtis- sion does not feel that a proniotion of this kind falls within the purview of the Kubinsun-YaUnan Act, H•hich bars discriminatiun in the granting of promotiomal allowances. The question cante ul) when a promotional organizaticm asked the Commisipn fi<mlan ~aya.•isr,rv opinion un a plan to advertise nun-grocer\ itents-nut available for sale by par- ticipating retail grocers--on the grocer's shopping carts. The law governing pruntutiunal allowances would not be ah}tlicaltle to the progrant. FTC said. Huwe.•er, the cotnmisicro said, if the advertising on the sh()l)l,ing carts indicates the nante uf am• par- ticular dealer - where the prctdnct s may be purchased. then the adver- tising shoul<1 also indicate the nantes of all competing clealer:,. 30 • In/erprehng the News rr,rnt, thr ,ecuncl major <li~er,if,- catinn frum manufacturing fnr t-1,- jnhn in the health fielcl Last year. the crmilrlny established a l.alwra- tory I'rireeelures clivisirm• «•hicl: lrruvicles blood and other te,t ser-\- ice, tt, rlu:tnr, ancl hrt;ltital, IAu# 11, 19r,y A. I). 1. Zone basis: In its natittnwirle e.- lr.m:liun. the Hunientaker, urgani- zatiun 'Will he set ul> cln a"zun(," ltasi,-each ztme covering a nai r ntetrul)ttlitan center or trarlinf are,s. tiul,-laranch rtffice, .vill l,e e~- taltlishedl in ;ttrruuncling cities or snhurl,, within a zcme. In citie~, of le,s than l(K1.~1{J{a hutt:ehulcls. the Humemaker, ttftice \1•ill lte operated by franchi,ee,. i:ach office, the crn»lrlny sai-l. l,nn~lr~l. will maintain "a staff of insurecl erttlrb+,yees. e~ lteriencr{l it specific area., of hrnne or healti. ,ervice skills. Fnt.plnvee, are ntatchecl to individual reque,t~- fur servi7e fronn lthy,;icians, 1>rivate in- clivitlual~,, ur health in,titrtti-m!-." 100,000 employees: I•;tlwartl 1. \\ tlsnlan, hresirlent nf Hume- makers• expects that, when the ex- pansinn i., contltletecl, the 500 Htmentakers office, will have mure than 100,000 eml>lotyee, un their luta•rf511'. "The ofrice~, will be ,tatiell with personnel »•hu know ht,\r tr, iincl, assemble, and hackage paramedical health in their l/tcal area,." 'Mr. Wilsntan said. L'ncler the ] lumenttlker: ltlan, the custunter-whether a family r,r an institutinrt-ltays l irtntentaker.,, n(tt the entltluyee, fur services rentlererl Hunten)akers, in turn lnr, tlte em- plrn•ee. For in-the-home care, the Htnne- ntakers office will sultply a lu•r•()n with whatever degree of skill i, clnirecl by the }ntient. In hospitals, nnrsing huntc-. an,l other institntinn,, Huntenutker, \\il] sttltply vacatitm relilacentent,, a~, well as extra personnel neecletl ft r peak lieriucl,,. AMIERIICANI IDRUGGIS~ • S~eRllle~ber 7 ll~"i

A DIRECT BUYING PROMOTIONAL DISCOUNTS THROUGH YOUR WHOLESALER... ON THE # ELLERS Your Heaviest Advertised Analgesic Ointment, Eye Drops and Diaper Rash Remedy. , ^-+rro rre . ss~w:z ~o uRrar Pft-r= #au i/~i i~ ~ri •' d oz. ~ 31 ~scs '~:r,r~le ~ t•' '.-!2 #acc. ~rYr" 3 a oz. BeirGall iE;.pcs. "~ease3ass" 8 a¢. FREE ~i pcs. "~renstiess•' 14 oz. 1 490 °. .. ~N : : . . . Recsll Retail Vaiue ~ ~`~... 3~58.38 vo» Cosi Lass Frfe Coads .339.89' FREE GOODS s ou$ U~Y A~iLR3AP~ ~.~t WHEN OFF INVOiCE Visine6 $750 Valw FREE GOODS OFF 1NVOICE VISINE COUNTER atSSPLAY #643 Cmttaias: - 42 pcs. ~h o¢, Ptastic 4 pcs. ~ o¢. ~PJastio FREE 5 pcs. % flz. Plastic Retail Value . . . . . . . .. . . . . . . $80.46 Cost Less Free Goods . . - . . . . . . i48.64• 'PLUS 81h% REBATE FROM L/P WHEN YOU BUY ALL 3 PRE-PACKS.t Desitin PRE-PACK #444 Gontalns: 12 pcs. 1.25 oz. 1L 1 i 15 pcs. 2.25 oz. $32' R.R.H V.Iw 6 pcs. 4.25 oz. FREE 3 pcs. 2.25 oz. Retail Value ................ $38.16 Cost Less Free Goods .......... 523.26' •PLUS 81/=% REBATE FROM L/P WHEN YOU BUY ALL 3 PRE-PACKS-'t CO-OP ADVERTISING ALLOWANCE AVAILABLE. SEE YOUR WHOLESALER FOR DETAILS. TO COLLECT either 5%t or B%% Rebate (not additive) on pre-packs, mail your wholesaler invoice to Leeminy/Pacquin Rahate r-ar*mwnt, 235 East 42nd Street, N.Y., N.Y. 10017. Invoices must be dated no later than September 30, 1970- Invoices must be received no later than October 30, 1970 (tAlternatlve 5%rebate wnpn you buy 2ot the above pre-pachs.) LEEMING/PACQUIN LEADING THE INDUSTRY'S GROWTH AMERICAN DRUGGIST • September 7, 197D InlerpreL,; t,r Nr.,• • 31

a a i O c ® , { Y , ?€ : ~s!=_;1 r , r a ... ~ . ~Vt'~. ® / r ~tfiS;-i .,',:...;

}_ WITH BROCKWAY GLASS PRESCRIPTION WARE In keeping with previous offers, Brockway again has for the pharmacists two new quality premiums ... your choice of one or both. Now's the time to order glass Rx ware from your Brockway wholesaler, and enjoy your choice of free premiums with- out delay. Offers are in effect from Sept. 1, 1970 through Oct. 1, 1970. F DLD N' ROLL MULTI-USE 72" x 90" BEACON"" 11 ETAL VERSA-TABLE= THERMA-WEAVE: BLANKET This useful table is as versatile as the home- maker's imagination. With a few simple ma- neuvers, it can be one of many things. • bookcase • knick-knack shelf • end table • flower stand • serving cart • portable bar • util- ity table • patio cart • nursery table • TV snack bar • individual dining table • typewriter table • writing table. Or it can be folded flat to less tt.an 3", and rolled away for easy storage. Versa-Table FREE with each 50 case order i of Brockway Glass Prescription Ware. cofYr4 J O 9N ~ 9ss. pLW,<<' COMPANY, INC.. BROCKWAY, PA. 15824 Here is a beautifully styled full size blanket that gives warmth without weight ... is machine washable, non-allergenic, and mothproof. Woven from scientifically blended materials, these blankets continue to grow in popularity. Bound in 100% Nylon and offered in gold only. Blanket FREE with each 15 case order of Brockway Glass Prescription Ware, RO~KWAY GLASS r ,,,,,

.` spergum~ Pre-Season PROMOTION [For The Sore'Throat"'Season *Unique, Effective Aspirin Medication ~ 'PteasantTasting Orange & Cherry ' ' ~Flavors *"Famity Favorite SH REBATE CASH REBATE AUGUST 24 thru OCTOBER 9.1970 ® D EAL #2244 Aug. 24 'til supplies are exhausted. CONTAINS: 2 doz. 16's (Orange) .... 49ot 1 doz. 16's (Cherry) .... 49¢t 1 doz. 36's (Orange) .... 89;!t 1/z doz. 36's (Cherry) .... 89¢t 2 doz. Aspergum 16's 73,20/0 (Orange or Cherry) CASH REBATE 7 ~~~ 1 doz. Aspergum 36's CASH REBATE (Orange or Cherry) PROFITS UP TO 42% ® OPEN STOCK OFFERS YOU PAY $22.44; SELL FOR 33.66 YOUR POFT14.03** COIST PROiFfT" $7.84 $4.51 LESS CASH REBATE $7.12 $4.09 LESS CASH REBATE 34 • Interpreting the News AMERICAN DRUGGIST • September 7, 1970

, 'Sue color and shape imitators' Brand name Rx drug makers are urged by lawyer to act against firms he claims facilitate substitution Too many of the natiun',, drug makers are being unnecessarily Vic- timizecl by generic hcnt.es that mar- ket out tabletz. and capsules designed t(, louk like their brand names o;unter113rt~,. So savs New Z urk City attorney havmund Mc:%lurray. In a talk before the Food an(l I)ruf* Law Se:- tiun of the American Bar Assn, :Nlr. \lcalttrray asserted that "the pre- scription drug inclustrc, because of an ttnffirtnnate serie< of e.•ents- legi,lative and judicial-is right ncAN" sufi-ering gross unfair comheti- ti,)n ancl i~- cloing virtually nothiny abwt; it. 1 believe that the imitaticm uf the shal,e, color. and other clis- tinguishing feature~~ nf an Rx drug it, trnfair competition and I believe it is actit.,nable and enjoinable." Wary:Accrrrclingtc~ Mr. '\lc'.\Iur- ray, the anti-drug industr% clinlate prnrlu:ecl by the liefauver and sub- sequent Congressional drug field iiive,titratinn~, has tnacle drug firms wary about moving against other companies that imitate the color, size and shape of their products. The other factors, says 'Mr. Mc- Murray, are 2 1904 Supretne Court dle-i5ic,ns %vhich held that the anti- trust prohibition against unfair cuntl,etitic,n due~, not extend to the mere copying of unpatented or un- traclemarkecl product features. Unwarranted: It is 'tlr. :\lc:\lur- rav's contention that, in this con- text, lumping prescription drugs together with all other cummodities is unwarranted. "I believe the verv act of such imitation is an act of bad faith and must be enjoinable," he sad. "1 be- lieve the law is decidedly this way- and even if it might allow a certain amount of imitation of non-func- tional features in other commercial products, the very nature of Rx drug distribution requires a higher stand- ard.'*11 , AMERICAN DRUGGIST • September 7, 1970 No option: One of Jlr. '~lc ~lur- ray 's argtunents was that. with re- spect to most products, the buyer has an opportunity to compare the "copied" item with the original. The purchaser of prescription drugs does not have this operation. he said. "It must be obvious that, in this unique circunutance the patient purchaser is entitled to his doctor's choice of drugs and that he should not have to run the hazard of using some other drug. Httt the slavish imitator makes it possible ... a pharmacist to substitute. accirlen- tall.• or deliberatelv, the intitator'~ pro ~cluct." By design: He told ANti:RtcAx DRt-c;GtsT that capsule and tablet imitation by many generic hrtu~es i> done by design, and then merchatr clised to prospective pharmacist cus- toniers. He noted that cataing, of a number oi these firms shecihca?^.N ehlphasize the fact that their hrod- ucts look like branded items. I 3 SICK MICE-HEAR HOW THEY COUGH (BURP) Recent governrment actions an cycla- rnates and other drug and food ingredi- ents and products have brought forth a wide range of reactions-critical, laudatory, and in-between. Here are the views of one outspoken advertising man, Jerry Della Femina, ofjered in the column he contributes regularly to the magazine Marketing!Communica- tions. Mr. Della Femina is president of Della Femina, Travisano & Partners, New York City. This is a story about three mice. Now these aren't the three blind mice, but they are three very sick little mice. The time of our story is in the year 1984. T1we p1acr is a government test- ing laboratory. The kind of govern- ment testing laboratory that 16suef a proclamation every few months that scares the pants off you and me. It is evening and two of the mice. Mickey and Freddie, are discussing the third mouse Walter, who has been ab- sent from their cage for the past six months. Freddie: I tell you (cough. cough) that Walter has lucked out. They're testing something really big on him. Mark my words. Walter (cough, cough) will go down in mouse history as the rodent who ruined some billion- dollar industry. Mickey: And here we are a couple of hae-heens. You, still being forced to smoke 25 packs of cigarettes a day and me (burp) the mouse who caused the big cyclamate scare (burp) in semi- ret'vement. Freddie: Cyclamates-boy, that was a great day for you. Mickey: I remember it now. The~ force-fed me Fresca. The equivalent of a human drinking 300 (burp) cans of Fresca a day for seven years. Then they tested me one day and found out 1 was a sick little mouse. They ordered champagne and celebrated. They is- sued a proclamation that cyclamatr: had to be taken off the market, but the, forgot to mention that I was drinkine 300 cans a day for seven years (burp i. An obvious oversight. Freddie: In 1970 they toek tomato juice off the tnarket, In 1971 it N•as apples. In 1972, candy. in 1973, ice cream. In 1974, spaghetti. In 1975. her- ring. Mickey: I wonder what R'alter't; contribution to amarakind will be ? He%. look, here he comes. Boy, do" he look Rick. a'alter. Walter, what did they test on you? Walter: One of the great ezperi• ments in history. 1, Walter Mouse, shall go down in history as the mouse whc ruined the cheese industry. Freddie: Cheese? Mickey: Cheese? Walter: Cheese. We've proven be- yond a shadow of a doubt that cheese in massive dosea, will destroy a mouse's health. And tomorrow everyone in the world will lrnow that if you eat 600 pounds of cheese a day for 140 years. your health will be in serious danger- Mickey: Gee, I used to love cheese. Freddie: I must confess a fondness for cheese, too. Walter: Boya, I feel the same way, but we mustn't let our personal feel- ings get in the way of progress. Science (burp) marches on. lnJerpieting fHe News • 35

SK&F announces the first Benzedrex deal in over a decadeL 3 free with 33 plus $1.00 in cash display allowance The UnstufferT" Deal Your cost ............... $19.47 Your selling price*... 32.04 Your profit .............s13.57 pnciuCec 91 00 tor tlupIaYl 'Suppested retail price, $ .89 each--Deal expires October 31,1970. or when supplies are exhausted. A full 42.5% Profit stock up now- disptay and recommend The Unstuffer; genzedrex Inhaler

t '3rd class' sought to curb abuse The board of trustees of the New Ierse.• Pharmaceutical Assn has l,rupaj,ecl that nie(licine:, sul)iect tto akt:e tc~ 1>ut in a"thircl class", sold .1nly by pharmacist". ti1e lut>l)«sal was tnade in re- ;Ircm:e to a call by New -lerse\ G)v. Cahill for increase(I control t)ver the salr uf aUnsect pru<Iucts. According to the assor.iatinn su;*- ;*e~tinn, "the 'thirrl class' wotlld re- nu~ve such lxrtentially ai>tlsai)le ilieo-licine as cough syru1,.,, stulnacll remedies. anti-natlseant.,, cidcl 1>rel,- ara*,ic,na, tran(litilizers, and elixir> high in alcuholic content fr<<ni the cla,:' comprising non-lrre- •cril,t)f,n as cli>tinct fr()I» the 'tirst cla"" "Ohich cclrlstitntes medi- c<ctif,n obtainal,le only nn a cIc ct<rr'~, Insufficient: lt NvaN relmrtrcl at the lruarrl uf tru~,tee,, nteetin,- that five mmmicil,alitie5 irl New lerse\ 's •lliclrlle,ex Cntlnty have enacterl r>r- {li;iance, l)anning u1,en cli;l,lay of certain (lrtlg-), and Itrc,ltii>itinl; saleti to tninors. Alexanrier ,ll. 1',ell• a menlber c,f the lmar(t of trnstees, held that these zxle.a,qire, are instifhcient, ancl that ntore expert supervi,tiirr,lf is retlttrretx anrl more experiencecl enforcement i,, nee(lecl than that l,ruviclect h%• local police ctel,artments." \leamdhile, the }:iwani. Club of New Nrunswick has actuptecl a reso- lution H•hich asks that "comtrul ancl res}wnsibility for sale of stuh drng,~, a; dextrc,-nlethr,rl,han, hella(lnna alkaloids, 1>henobarl)ital. antihista- mines and 11rr,clucts containing eth\•1 alcohol in 12~j~ concentration or over i)e placeci w•ith tile state boarel (if hharnlacy. The }:iK•anian5 further ttr{{e<l that sale anrl (lisl,ensing of the (lrugs be restricte(l to l,hartliacist5, that snch 1,rucitut5 bear a package iclentifica- tiun as to the pharniac}• source, ancl sale be Iinlite(l to lrers<ms 21 or ~~il~ler, and then' rnil~~ fryr valirl ase"i News • 37 INDUSTRY GRAMS Convenience, economy and patient acceptance are good reasons for producing combination drugs, provided each ingredient clearly enhances the efficacy or safety of the item, an FDA advisory panel has stated. The panel report comes on the heels of an intensive FDA drive to rid the marketplace of fixed combination drug products which the NAS/NRC efficacystudyhas declared to be ineffective.  EXECUTIVE CHANGES: At 3M: Harry Heltzer to chairman and chief exec, succeeding retir- ing Bert Cross. Raymond Herzog becomes pres. •.. Noxell: George Barbee to new prod mgr; Roger Yeager to Noxzema and Thera-Blem lines prod mgr . . . Allergan: Roy Richardson to genl mgr, G. S. Herbert Labs div ..• LaVerdiere's Su er Drug Stores: Reginald LaVerdiere to pres and genl mgr succeeding Evariste LaVerdiere, who becomes board chairman. Paul LaVerdiere to exec v.p. . . . Tannehill Pharmaceuticals: Hank Burdick to natl sales dir for Health-Rite vitamin and food products; Robert Gaver to mktg dir for Tannehill Pharmaceuticals vitamins and specialties . . . Clinical studies on an experimental drug may not begin until 30 days after the drug's sponsor has submitted an investigational drug application to FDA, under a new regulation just adopted by the agency. Purpose of the rule is to "assure that patients are not ex- posed to unwarranted risks" by resolving safety questions in advance of clinical trials."  The Commerce Dept has proposed a plan to limit OTC drug package sizes to 10-tablet or 10-oz increments in an effort to curb package proliferation of such products. A number of drug field organizations have been invited to comment on the plan. . Carter-Wallace has moved to prevent a num- ber of drug firms from importing bulk meproba- mate for resale in finished dosage forms. Un- der a 1962 antitrust consent judgment, Carter- Wallace is obliged to sell bulk meprobamate to any qualified domestic company.

RxMan on duty at all times store is open? Not required, says D.C. law chief in case arising from strike situation The District of Columbia's (>-f- year-old pharmacy law does not re- quire that a registered pharmacist be personally on the premises at all times the pharmacy i., open for bllsi- This opinion Nva, given by Hubert B. Pair, Acting Cclrporation, Coun- sel of the District of Columbia in an exchange of correspondence with JI. Eileen Brouks, executive secre- tary of the District of Colunibia Pharmaceutical Assn. Strike: While the correspondence did not mention the subject of unionism in pharmacy, the exchange came about as a result of a recent strike held by pharmacist~, in the District. While the strike Nti•a~, on-it has since ended-the union that called it felt its cause would be helped if it could force the struck stores to close down on the ground that they had no pharmacists on duty during busi- ness hourb. As a result. 'Miss Brooks said. "there 9tas been inuch discussarat recentlN• regarding whether or not a registered pharmacist is required to be personally on duty at all times during which a pharmacy is opened for business in the District of Co- lumbia." To clarify the matter, she put the question to \1r. Pair, who cited a 1942 opinion that was given by Richmond B. Keech, then the llis- trict's corporation counsel, now a judge of the United States llistrict Court. Exposed for sale: Unionism was not an issue in the 19-12 situa- tion. The opinion was requested at that time bv the District Narcotics Squad, which wanted to know whether full-time presence of a pharmacilst IIIwa's'' reqtai~red in light of the 190() pharntac\ law which state., that "it shall be unlawful for an~- person not licensed as a pharmacist within the meaning of this chapter to conduct or manage an\• phar- mac\', drug or chemical store, apothecary shop or other place of busine~~ for the rezailing. com- pounrlinl;. or dispensing of any drugs, chemicals, or poisons, or for the comlwunrling of ph.•sicians' 1>re- scriptioms. or to keep exposed for sale, at retail. an,,drul:s, chemical~, or poison, , . ." tipecifically, the Narcotics Squad wanted to know hov,• the phrase "exposecl for s:ile" affected the need for a pharmacist on dutN during bu ine„ huur,. 'Mr. Keech's ruling was that "there is nothing in the act under consideration which would require a registered pharmacist to be per- scmally present on the business prentises of any apothecary shop or drug store at all times or hours such ectablishtnent may be open to the lazl/lic fcrr busille,~~ ancl llas'exlrtrsed, for sale' an.• drug~. etc. which come under the provisions of the act. "The restrictions require that the ccnnpounding, selling or dispensing of (irug5, medicines, and poisonous compounds at retail must be done by or under the direction rnf a dulN registered pharmacist, witll the ex- ception of those poisons or chenni- cals prepared for retail sale in clearly marked containera as hereinLef,)re stated. "The terni 'exposed for sale' ha~ been defined hy variott~~ courts to mean generally that the merchant or dealer has the article in question in his general stock for the purpose o; sale, regardless of whether the sale i~- actually made . - ." Kenneth Griswold gets 1970 Lascoff award I:enneth S. ( ;riswulcl, director ()i the Division of Extensirm tiervicc-~ of Albanx i\.I-. ) College of I'har- tnacy. ha~, been named 1970 recilli- ent of the l. Leon Lascoff 'Memc ria; Awarcl. The award is presente(i alt- nually by the American Collere of Apothecaries for outstanding ser~- ice tu professional pharmacv. • \1r. t;riswolcl retired a~ secret,ar% of the New York State hoartl of pharntacr earlier this year, after 12 year in the post. He had previou~'.,, been a district manager for lai Li?l\ & Co. Mr. Griswold is now serving hi~, second 3-vear term as chairman (if the American Pharmaceutical 1bt~lq.t;il liuara_ PILFER - PROOF: This new counter display for Mallory Battery Co.'s Du- racell batteries for hearing aids is constructed en• tirely of plastic- with a Plexiglas top that makes it filter-proof. A stor age area in the rear holds add - tional merchan- dise. 38 • Interpreting the Newc AMERICAN DRUGGIS' • Seoiembe, 7 19'i,

Here's the deal: From now until Oct.15,1970. Borden is offering you a very spe- cial deal on I doz. 1 i/a oz. tubes of Methakote®a very special dia- per creme. What's special is that you can make 41% profit on Methakote. What's very special about the deal is that pharmacists have an exclusive on Methakote. So you can sell an effective, high-profit diaper creme without competi- tion from supermarkets. A very special diaper creme that will be detailed to doctors and promoted Methakote Deal No. 890 Suggested Wholesale Price to Retailer Deal Normal Cost to You 8.90 $10.00 (1 doz. 1112 oz. tubes) Suggested Retail Selling Price 15.00 15.00 Total Profit 6.10 5.00 Margin 41 % 331/a % through a full schedule of fresh, creative advertising in major pe- diatric journals. What's very special about Methakote is that it's the only diaper creme with both methio- nine and cysteine, the ingredients that help to heal diaper rash fast. So as long as you're selling dia- per cremes, why not make 51 c profit per tube? Take advantage of this very special deal. Order a supply of Methakote from your wholesaler. Now! ! Borden Inc. Pharmaceutical Products 350 Madison Avenue I New York, 10017

Bergen-Brunswig plans profit shift Bergen Brunswig Corp.'s "cor- porate objecti.•e is to increase profit contributions from ol7erations other than drug distribtltion t+, 50',; by the end of fiscal ly; 0, and to 7;';~ by fiscal 19i 5". This xva!, disclosed to stc~ckholcl- erS in the conlpany's financial re- port i>y E. V. titaude, chairman : and Enlil I-'. 1lartini. lr., hre.,iclent- Fiscal luTU ended last ta•eek. Aul;. 31. Before I;erren l.hur Co. and I3rllltswir I)rttg Co. merged in M arch ly()Q. the lnlsine,~, amt prt~fit source. uf l,tutll cottlpanies cti•ere largelt- in the ti-hole;ale drug fiel<l, lliv~ersificati,,tt, larf;rly since the merger, has bronght the crntllnnN closer tuwar+1 »•h,:t the report call, its "g<~al uf total invo,lvenlent in health sert-ices." Accluisitioms have been made in the metlical, hospital. and dental sl.t},~l,lN fields. in an interim report orl the Q nlnnth. ended Nla%- 31 of thi,; .ear, 'tlr. 'tiartini noted that 43 ::r of net income for the Jteric,cl "was f;ener- ateel 1>y crnn}ntter services and the nledical awl scientific 1>rrultlcts ai-itl serrice, tlivisions." Thi, 43';; of income, he saicl. "ti•as produced fronl about 1G rl( (if total revenues . . . "The cotnpanr expects these rlivi- sinn." tu increase their 1>ercental;e contribution to net income as the thrust <tf corporate tlet•elupmrw i, directed toward those areas of thr health services field which hroiluce profit nlargins higher than can be expected frcml,drnn tlistribntirm." Steady and stable: That Bergen Brunswig net•erthele~,,, exl>ects it~, wholesale drug ol>eration, to con- tintle as a lrtsic part Of it., inlsines~, is in<iicate<l, lty the comment in the annual report that "the distribution of drugs and related Itroultutt, has long been a steady and stable in- tltistrv ..~ 1t•itlt last vear's merger ~, the ntlnlber of l,harmacies hy I'>er- gen Brunswig ctrug clistrilrntiom centers have increased to more thaw. 10,000." In the ct>ntJnlter fielel, the coml- pam nrrterl, its "Til>tol>" and "Pares" conlputerizerl billing ser\- ice,, are offered to pharmacies di- rectly by Bergen and RrunSwi~: divisic» t~,, ancl 1,v franchi.e<1 dru;; wholesalers in other area~,. The comltany recently a1, en- teretl the prepaid prescril,tinn- clainls-handlinn field through a cap- ital participation agreement with Computer Clearing Sercice, Inc. which handles 1>rt,cessing for Paid Prescriptionr. New ventures in the c,inllntter field incltule : • PKN 1 Professional Itecorrrl- and Notation,>, a practice analy~i• and hilling service for dnctor., and nledical groups.  1)llS ( I )ental I )ata srstenl~, asinlilar service for the ciental hm, Hospitals need 10,000 MDs, 800 RxMen Ten thousand physicians . . . 200 dentists . . . 200 dental hygienists ... 2,700 clinical laboratory technol- rgists. . 900 dietitians . . . 39,400 registered ntlrve~, . . . 800 registered pharmacists . . . 500 pharmacN as- sistants and aides. That's how a shopping list of per- sonnel needed br the nation's hos- pitals might look, if they were to prepare such a list. On the basis of a 1969 Stlr.•er of Health ?tlanhower in Hospitals, the Bureau of Health Professions Edtl- cation & '.tlanl,oti•er Training of the !:. S. Public Health Service has come up with a detailed list of how many people are eml>lo}•ed by hos- pitals in each of ahmnt 70 types of jobs-and how many more people are needed in each category to staff the hospitals adedtlatelr. The stud_v was conducted by the Bltreau in collaboration with the American ~-losl~ital ssn and Na- tional Center for 'Health Statistics. 40 • iMornrehnp thr- fYews RxMen & aides: Accorcling to the stucly, the ntlnlber of re,;isterecl pharmacists employed in hospitals last vear was 13,600--of whom 9,A10 u•ere working full-time and 3,800, part-time. In addition, the stlrvey fonnei 9,900 "pharmacY assistants and aides". Of these, 7.300 were ftlil- tilue etnpicl}•ees, and 2,600 were part-timers. To hanclle all the pharmaceutical work that needs to be done, the re- port sars. hospitals would neecl 800 more registered pharmacists and 500 more hharmacy assistants. Of the 900 pharmacists, (i00 are acttlatly accottntecl for in the hoslsi- tals' budgets-hut the jobs are sinl- ply vacant. The other 200 represent pharmacists who are needed but are not lmdgetecl fttr. The vacant Ilharnlacy assistant jtth1 i>reak down into 300 that are lfatrlg(•tetl for, and 200 that are not. The following table shows how the pharmacy entplo}•ment and jolh vacancy situation compares with that for other'categories of hospital eml>loyees: r.,^oe '..~:r . Interns, residents 55,000 4,100 1,100 Other MDs .... 58,200 2,700 2,100 Dentists ..... . . 5,800 10C 100 Denial Hygienists 500 100 100 Dieticians ...... 12,700 700 200 Registered nurses 461,100 32,300 7,100 Practical nurses . 205,100 15,300 3,900 Nursing aides .. 568,500 16,800 9,200 X•ray techs .... 31,100 1,300 500 Occup therapists 5,400 600 300 Phys, therapists . 13,600 1,300 300 Hosp. adminis. . 17,200 50D 100 Massengill gives $I0M to U of Tenn Rx school The l'niversity of Tennc~,.e(, Schoitl i>f 1'hartllacv hrt: received a $10,O00 grant in-aitl frnnl S. 1". :1lassenhill Cu. U ~ AMERICAN DRUC>CtST • $eDie'm'b'e• 7, te.'i~

The New American Public Health Association (Continued from Page 15) liuttinf; it", says I)r. I:inTmey- "becatise A \l.a has already given ttll the leacler.hip . , . Twenty year.s ago, if yc,n wanted a statement tm health, -%•cnl turned tt, AMA. Iitlt A\1A ha~, tarnished it~, inlage. A:\1 A ha., been behind the crest of the wave of the changinl; st,cial at- titucle toward health. The further they got brhincl the crest. the more it l„nkerl a, if AMA equals r,hstruc- tinni~nl." Ct,nscit,us u,f the need, in hi, ne"• pnsitirm, to temper criticisnl with organizational state.- nian•hil,. Dr. Iiinimey adds :"I anl nnt snrr thi. i~, true of the .vhr,le Itut then he cnntimles: "I'hysi- cian~ h;trl it liretty much to them- ~,elre. at one time. Hut now the physician liracti:es in an envirun- ment that's filled with ne.\- career lrerrl,le, anrl >unle of the olcl people in clitierent rt,le•-nur:e.,, l,harnla- ci-q'. anrl on, whr,se rule~, haN e ireeii rralefwlteal 'in ternr; 01, a mtul-" mr,re coml,lex healtl, sy:tent. A~, tl,i~- has happened. I rlom't thinh A \1A ha~s adapted a, rrtl,i,lic as it nlirlit have. "So I think there's a vacuum. AI'HA i, not aggre~,,zively sayinn, 'we're rnit tu get .\MA.' That would be a mistake. \\'hat "•e're saying is that it appears trr u; that A'\1A has fallen behind the times a little-al- thrnl;;l, I think theY're making ef- frtrt, to cr,atir- ltack ttl, Ancl if there's a vactlnnl, if tile lrulilvc 1I npm inlace° tr, turn tt, for leadership, then AI>HA i, there with ne\\• lxllicies and irlea.,, antl we're going to gt, ahrwl." The difference: Ht,w does llr. Ikinlmey see the <lifference bet).veen the "olrl'AI'HA ancl the One a4 "}3ecattse of APHA's urigin, an association of puhlic health clfficiala it has tended to carry tile ini- al;e of an official health assuciation, prrifession- ally ancl technicall.•-c,ri- entecl• concerned pri- marily with standard- setting in such fields as sanitation, waste-water, dI J I I9 11 J i i I' II AMERICAN DRUGGIST • September 7, 1970 "AMA has already given up health field leadership . . :" h„using, shellfisl-, ancl the like. "Ynt in the past few vear.• we have seen a shift in nieml,ershil,. ticire anrl more l,ec,ltle interesterl in nterlical care have founsl a hr,nle in A1'H.\. These are people who clo, not work for health departments: they are invnlverl in cc,mprehensive ltealth l,lans, in neighl,<rrhc,ucl health center~,, in instlrance cemll,anie,. ancl c,ther gro,nlis that have becomie c„ncernerl in the nl,e<lical care ,y- tenl. The~,e lie l,le haven't found an~ other ht,nie, brcause there ha>n't l,een a natit,nal urranizatir,tT t~•ith quite as brr~acl a sl,ectrtnlT uf ty1>e~ t,f 1>'enltle eliril,le for menil,er- ahil,. A1'HA', f,ical lu,int f,rr menl- laershil, is not the cle.rree you lt,tlil,en to have r,r tile place \e,u htllil,en t(' \vurk. It',s N'r,ur interest ill lnil,lic hertlth-antl Iwuulcl like to see tlie ternl chan,_~ea to 'health of t'he l)ul, lic', l,ecau,e I think that i., a l,rr,aclt'r cnncelit than 'l,ulllic health'. "Ancl sr, now we have l,hysician,. nurses. 1>harlnacists, engineers, acl- nlinistrator;, health e(ltlcator.s• and nlanv others represented anwng the 28,060 members of the association. )-ou nanie a health pri,fessiun• and IlYlon;..* I- AI' HA "We need to make the technical facts sexy enough to influence legislation . . ." Sexy enough: \\'itl: thi~ change in nlenlher.,llil, cnnll,r,.,itinn, "aV, Dr. liitttnley. it was inevitable that there t~•unlcl he "a chanl;e iri the thS:ist uf acticitie," c,f A1'H.A." Hence, the new cun,~titutinll, tilc neNV statenlerlt t,f gu,t6• anrl "The establi,hnlent of the Aetir,n l;riarct crtnceltt a, co-equal with the tecliini- (I acti\'1t1C., of tl'9C 'iin~d'1,^tet:b+ il. "If there'.-, a shift in AYHA," ,;'t\ 4 llr. Iiiitutle\•" "it~, a s hift frnnl a prufes;u,nal, technical enT- l,hatsi> tllune, to maintainin;; that eml,hasiS -lnlt at the same tinle creating a tne'chanism f0r tran,lat- inl; the hard, technical fact~- ini, la()litically actiVe 1>ru;;ramZI. l'nlike sonle grc,ulis in the consumer pr{- tectiun tielcl. \N-hi:}1 sr,ntetinie~, base their al,l,eal mc,re c,n enu,ti~mi tL•t,n trn f ut~, w'e have .vithin Al'HA tile tC'c19Ti,49.-a1 cIulSmil~°tC~ltl~'C''Ir~a ri'.r' 1,'l+.d'a' frtct., The prc,biern 'luao. lee'rrt 'mal:- inl; th+r>e technical fact', Sexy ene,u;;h, if \-,nl will. t,, intluellce ttl,l,rrrache~." tile l,til,lic tr) tr\ new What new approaches, nrnl wh~ are theY needed .' Dr. liinlnlr\ '~~ l,ri- l,eliei nl,try crmuern ari~e~, frnm hi, th;,t "univer.al he~tltit instlrtnct•. riiTthinkal,le five year, a;gu, i~, nn\\ inevitablt•, even inlnlinellt. \\•ht•11 C-unrress lnit; the l,nwer trr l,a\ fr,r health services in tlle hanrl. r,f nlil- lions who are nr,\\'nrm-cr n:nnler,' uf health care, what will halrlrrtl = t>uite l,ua~il,l~, aSr,ct:,l cli.n>lcr r't tile hr:t nl,tl;nitncle will fr,ll,m, ht- (I there is sinll,ly nrr ~, vstenl t,r rea,untl tt, the cleniantl. Ancl even if we were trr nlal.e the cnttclirreYlt llni.rl~lrrl. c ~nrl h- • 41

decision tcr systematize our delivery of health care services, nobody wcnrlcl-at this point-be able to put forth a single proven, effective, equitable, and acceptable health servi;e system that woulcl indeed elevate health t() the stattts nf a right." Climate for experimentation: Asked what system 1Te feels nrirthf do the job. llr, hitnmev saVS: "Based on available information and the experience Nve've had to clate in America. pre-paid grcntp practice seems to be the nwst effective sya- tetn we've got. But I say this with the caveat that there are a lm of things that haven't been tried. For example. local practice units. or- ganizecl on a regional basi~-feecl- ing imu some kind of inerlical comr ltlex. And there are other pattern!- we haven't tested to find out if the\- can assure that the patient, .vhat- ever his problemt,. encls np in the right place. But we haven't had the climate for experimentation in the past. I don't think we've been willing tO divorce ourselves from all the emn- tion, and traditions that surrnun<1 health care and sav: Let's l()ok at this from the standpoint of a sys- tems approach. Let's look at all the potential, and possibilities, feed in the inputs of the American way, and come ul7 with something we can trl,-. somewhere, that seems to have the potential for hrovicl,ing the best pos- sible care, preventive care and cura- tive care-when people need it, not on art e711ergenct , eltis4Aic. ti+.•ait-in- the-office basis." Clinical pharmacy: \'i'heT the interview turned to matters phar- m3cetttical, it developed that Dr. Kimmey was not aware of the mo.•e- ment toward "clinical pharmacy"- toward training the pharnTacist to be a patient-orientecl drug con- sultant to the health team. I)r. I:inT- mey reacted to the concept with an interesting mixture of enthusiasnT and caution : "The question that contes to ntincl is :\'l'ill this change, this new orien- tation, contribute to better health, to more effective functioning of the health care delivery systenT? In viev,• of the limited number of people we are able to train, we must look for ways to °prtivMe services for the 42 • Interprefing the News "Universal health insurance will bring a social disaster of the first magnitude . . ." huge population we're going to have bN the end of the century. We're putting together nuore of a treatment teani. Not in the sense nf a group of people. headed by the physician, who theoreticallv knc,ws trnore abmit each of their fields than theN clu, and who says yott do this for me ur ront (h) that for nie-the prac- titioner-technician realtionship. Rather, we're putting together a team uf co~-eyttal practitinner>. "The clinical pharmacist could be someone the physician can turn to...// "To an extent, I think we're see- ing this in the neighborhood health centers, where care is delivered bY a team of health practitioners- ph}•sicians, public health nurses. clinical nurses, family health work- ers. There are things the nurse knows about the treatment situa- tion that the physician doesn't. He recognizes this, and she's looked upon as a co-equal ntember of the team, There are things that a fanTih health worker, brought in from the neighborhood with a ntininntm of health knowledge, knows about the treatment situation that neither the physician n(ir the nurse does, and she i~- treruu-d a., an e(lttal luember of the team I think ,ve .cill see nTOre ()f thi, kincl of al>pmach. "The clinical pharmacy trend seems tu fit the picture thi~, wa,, : The physician gets one cotTrse in pharmacolc,g% • in his sol>hmliore year, ancl then goes on, if he's sm ;rt. te~ pick one digitalizing agent 1Te get~, to l know real well, and one anti- hx•pertensive agent lie gets to knmv real well-this is how the msir~rity c,f, l,hysicians practice-or el~,e, a shotgttn that does everything in one pill. "The clinical pharmacist concel t says to the physician : There's scrnTe- cme N+•hu:e chief interest and respcm- sihilitv is that stuff von were ex- pusecl to <Inl\• cmce-semneone Votl can turn to. who understands enough abnut the patient's problem as a meclical problem to make a sig- nificant contribution in ternT> of hharmacc,l()gy, '.TiRi,, tretaiod appeals ti) me-the iclea of the specialization c(» bTil>Ir ul), rather than being passed cluwn. "There's a danger, of course. that the clinicall\- trained, patient- oriented pharmacist will take hi~l knowledge into the community and try to use it for over-the-counter diagnosis. This is something that will have to be workecl out as these programs develop. "Yerhaps we'll find that the ha- tient-trainecl pharmacist will serve a vital community role as a gate- keeper, as a point of access to the health care systent. Then the yue,- tion will be. not shouldn't the hhar- macist be trained to recognize whn needs what kind of referral t(i other healt h 1>rofessicmals-bnt 1n u,ctn't ITe' i I II ~ I ~I I;. AMERICAN DRUGGIST • September 7. 1970

81/3% promotion alf owance on shelfpacks and prepack plus an extra 5% quantity discount on orders of $100 or more Retail Value You Pay Wholesaler TYLENOL~ Tablets 12-12's No. 0496-44 $ 5.88 $ 3.90 TYLENOL$ Tablets 12-24's No. 0496-24 11.76 7.80 TYLENOLs Tablets 6.100's No. 0496-66 17.10 11.40 TYLENOLb Tablets 4-250's No. 0496-67 27.00 18.00 TYLENOL' Elixir 12-2 oz. No. 0501-02 11.76 7.80 TYLENOL' Elixir 6-4 oz. No. 0501-64 11.28 7.50 TYLENOL£ Drops 6-1/2 fI. oz. No. 0502-21 7.20 4.80 TYLENOLs Tablets Prepack No. 0496-35 88.71 59.10 CO-TYLENOLh Cold Formula 6.30's No.0490-33 10.14 6.00 r TYI.ENOL for the millions who should not take aspirin ' _. - ~TYLEMOI ~ Tr® TvtLNO ®. ~~ - ' jr1fNOL '~i/(ENOL ~YIFMOL y,, .` , . ~(., .-. ..~~ S V. . ... . w r....o r,.. o . .-~.--- TY~ i NOLA Tt+'ifNOL TYLENOL Tablets (acetaminophen) • the fastest growing of the leading analgesics in drug stores • promoted only through drug stores and the medical profession McNEIL FORT W SH N6TON,iPA. 19034 Promotion Allowance plus Quantity Discount* $ .52 1.04 1.52 2.40 1.04 1.00 .64 ~ 7.88 .80 Net Cost $ 3.38 6.76 9.88 15.60 6.76 6.50 4.16 51.22 5.20 Your Profit $ 2.50 5.00 7.22 11.40 5.00 4.78 3.04 37.49 4.94 *Promotion allowances are based on Trade List Price and are pay- able only with purchases of twelve dollars or more. To receive your promotion allowance and quantity discount on TYLENOL' or C0- TYLENOL", merchandise, submit to McNeil Laboratories, Inc., Fort Washington, Pa. 19034, no later than December 15, 1970, your im voice from a drug wholesaler. Invoices must be dated August 24 through October 23, 1970. Your invoice will be promptly returned with your rebate payment. The promotion allowance and quantity discount are granted only to drug retailers who during the offer period purchase the TYLENOO or CO•TYLENOLr& merchandise and who display it in their stores promptly after receipt. In no event will shipment be made or the promotional allowance and quantity discount paid on quantities of the merchandise that in the opinion of McNeil are not commensurate with retail purchasers' abilityto display the merchandise in their stores promptly after receipt. The amount shown as "You Pay Wholesaler" is determined by the wholeisaler and may vary. Offer Expires October 23, 1970 4067-7/7/70 Printed Cn u.s.A

---

---