The Manitoba Pharmaceutical Association held a series of District Meetings during the fall. The turnout at the meetings was, overall, quite good with the lower turnouts in Winnipeg and Dauphin. The matters presented were previously announced and included: An update on proposed changes to the Act and regulations Continued Care prescriptions and related topics International Mail-order Pharmacy Controlled Drugs and Substances Act, electronic prescriptions and signatures for community practice are not permissible. The issue of EDS part 2 was also raised. Many pharmacists described this system as fraught with inconsistency and confusion. It was stated the true value of part 2 has never really been recognized in the Pharmacare program, from a pharmacists' perspective. The thought of the meeting was there should really be only part 1 and part 3. Ms. Lois Cantin, President of The Manitoba Pharmaceutical Association, thanked all those who took the time out of their schedule to attend the District Meetings and discuss the issues.
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Patient and Doctor Characteristics OBS NAMCS patient record, Jul. 1997 to Dec. 2001 ; Mean Age 41.562 22.565 ; Female 0.604 0.489 ; White 0.877 0.329 ; Private Insurance 0.676 0.468 ; Medicare 0.139 0.346 ; Medicaid 0.063 0.242 ; Family doctor 0.319 0.466 ; Internal Medicine 0.147 0.354 ; Chosen prescription Claritin 0.542 0.248 ; Chosen prescription Zyrteec 0.202 0.161 ; Chosen prescription Allegra 0.256 0.190 ; OBS 2543 Data source: IMS, CMR and NAMCS. Standard deviation in parentheses and
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These two compounds are identical in every way and exist in equal proportions within the drug, except that they are nonsuperimposable mirror images of each other, he said.
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Market Capitalization Analysis The US pharmaceutical industry is very competitive with several large players. There are 164 companies listed on the DJ Pharmaceuticals Index US ; with a market capitalization of 767.8 Billion dollars as of April 2003. However, five major players dominate this market--Pfizer 193.2 Billion ; , J&J 163.4 Billion ; , Merck & Co. 125.4 Billion ; , GlaxoSmithKline GSK ; plc 116.6 Billion ; and Novartis 110.3 Billion ; make up 92% of the total market capitalization in the industry. The industry as a whole has experienced a sharp decline since the beginning of 2001 when the DJ Pharmaceuticals index peaked at 405. The index traded as low as 217 in mid 2002, and is trading at 270 as of April 2003. For perspective, this is the same level the index traded in the beginning of 1998. The Biotech Industry is much less dense. There are 323 companies listed on the DJ Biotech index with market capitalization of 171 billion. Amgen is the industry leader with market capitalization of 78.2 billion, accounting for 45% of the total biotech market cap. It has significantly outperformed other biotech firms in the past two years. However, the top 5 publicly traded firms account for only 70% of the total market cap--indicative of the myriad of smaller firms, both public and private that compete in the biotech industry. The biotech industry exploded in early 2000 to an index of more than 750. However, since this time, the index has dramatically eroded to 330.4 in April of 2000. These levels are commensurate with what the industry traded at roughly ; in late 1999. The Variable Cash Flow of Biotechs and Drug Lifecycle This market cap discrepancy is indicative of the new ideas and new technologies inherent in the industry. Biotech companies are more likely to be start-ups with products in the FDA approval process; very few companies have significant product revenues. Pharmaceutical companies are better positioned to produce and market new drugs than the more research-oriented biotechs. Second, their size allows them to diversify and synchronize their product development, greatly alleviating the cash pressures that arise from the long development time and high cost of researching and introducing a new drug, for example, zrytec.
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And or parole officers; and psychiatric reports where the evidence shows that petitioner is suffering or has suffered from a psychiatric disorder thatwhich might affect his her ability to operate a motor vehicle in a safe and responsible manner. d ; Investigative Evaluation 1 ; A petitioner will be required to complete and submit an investigative alcohol drug evaluation as part of the Secretary's investigative process, where the evidence, including the petitioner's driving record, indicates that: A1 ; the current loss of driving privileges is not related to a DUI arrest disposition yet the petitioner's respondent's driving record contains, or other evidence indicates the existence of, a prior DUI disposition or any other conviction or loss of driving privileges that was alcohol drug related within the last 10 years for which the petitioner respondent did not or was not required to submit to the Secretary of State an alcohol drug evaluation to obtain driving privileges; or the petitioner respondent may be a user of alcohol or any other drug to a degree thatwhich renders that person incapable of safely driving a motor vehicle. See Section 6-103.4 of the Code.
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