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How do Opioid Prescribing Restrictions Affect Pharmaceutical Promotion? Lessons from the Mandatory Access Prescription Drug Monitoring Programs / Thuy D. Nguyen, W. David Bradford, Kosali I. Simon.

NBER Working papers Available online

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Format:
Book
Author/Creator:
Nguyen, Thuy D.
Contributor:
National Bureau of Economic Research.
Bradford, W. David.
Simon, Kosali I.
Series:
Working Paper Series (National Bureau of Economic Research) no. w26356.
NBER working paper series no. w26356
Language:
English
Physical Description:
1 online resource: illustrations (black and white);
Place of Publication:
Cambridge, Mass. National Bureau of Economic Research 2019.
Summary:
Prior work considers effects of prescribing restrictions on opioid use but not upstream implications for pharmaceutical marketing activities, despite the inordinate role many believe marketing played in the crisis. Our study proposes a stylized model of pharmaceutical payments and investigates the impact of Mandatory Access Prescription Drug Monitoring Programs (MPDMPs) on opioid-specific commercial promotion directed at physicians. We find that MPDMPs reduce promotion on both extensive and intensive margins. Our results are consistent with economic theory, predicting lower promotional activities when return on investment decreases after state prescribing restrictions, and indicative of MPDMPs' role in affecting opioid use through reduced promotion.
Notes:
Print version record
October 2019.

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