# \[e-drug\] Dispensing Practices in India and United States

**URL:** <https://talk.edrugplus.org/t/e-drug-dispensing-practices-in-india-and-united-states/42829>\
**Category:** e-drug\
**Created:** [June 12, 2016, 3:26am UTC](https://talk.edrugplus.org/t/e-drug-dispensing-practices-in-india-and-united-states/42829 "2016-06-12T03:26:59Z")\
**Posts on this page:** 1\
**Page:** 1

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**Author:** ![Akram\_Ahmad](https://avatars.discourse-cdn.com/v4/letter/a/eada6e/32.png) [@Akram\_Ahmad](https://talk.edrugplus.org/u/Akram_Ahmad)\
**Post date:** [June 12, 2016, 3:26am UTC](https://talk.edrugplus.org/t/e-drug-dispensing-practices-in-india-and-united-states/42829/1 "2016-06-12T03:26:59Z")

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E-DRUG: Dispensing Practices in India and United States  
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Dear All,

Sharing a important article on Dispensing Practices in India and USA,  
Who can dispense like pharmacists, physician, Schedule K etc from  
Journal of Pharmacy Practice and Community Medicine (www.jppcm.org)

Dispensing Practices in India and United States

Abstract:  
Physician dispensing refers to the legal practice where physicians  
directly supply their patients with medication bypassing the need for  
patients to use a community pharmacy to fill their prescription. This  
practice is common in India where 80% of all physicians are legally  
allowed to dispense medications. Problems persists because patients  
are required to purchase any medication deemed necessary by the  
physician; therefore, conflicts of interest can arise due to financial  
incentives based on the number of medications the physicians dispense  
to the patient.

Physician dispensing has negatively impacted community  
pharmacy relationships by taking away their business and forcing them  
to close. Similar to the United States, dispensing physicians are  
regulated by the board of pharmacy and are required to be compliant  
with the same regulations as pharmacies, however inspections are not  
nearly as often or as strict.

Loopholes in the laws allow physicians  
to find ways around regulations and be noncompliant without sustaining  
consequences. Regulations, such as those in United States, that  
prohibit physicians from receiving profits based on the number of  
medications they dispense should be created in India to reduce  
conflicts of interest and prevent community pharmacies from going out  
of business.

Key words: Dispensing, Schedule K, Pharmacist, Physician, India.  
Full Text: [http://www.jppcm.org/article/41](http://www.jppcm.org/article/41)  
--  
Akram Ahmad, PharmD, BPharm  
Department of Clinical Pharmacy,  
UCSI University, Kuala Lumpur, Malaysia  
Mob. No.+6-01112285842  
Editor-in-chief:  
Journal of Pharmacy Practice and Community Medicine (www.jppcm.org)  
akram ahmad \<akrampharma67@gmail.com\>
