Drug Shortage Announcements Can Lead to ‘Protective Purchasing’: USP
Nearly half of drug shortage announcements led to protective purchasing intended to safeguard patient access, according to a report in the United States Pharmacopeia online Quality Matters newsletter. While protective purchasing is intended to preserve patient access, the report says, it can have the unintended consequence of deepening supply disruptions by concentrating demand, increasing waste, and exacerbating inequities. As a result, it says, some patients, particularly in smaller or rural healthcare settings, may be unable to obtain essential medicines even as total product volume sold continues to rise.
The article says that improved visibility and coordination are essential to reducing drug shortage impacts, helping to align purchasing behavior with real supply conditions and protecting patient access.
The analysis found that:
- injectable dosage forms show a stronger near-term response than other dosage forms;
- antibacterials, pain medications, oncologics, dermatologics, and antihypertensives experience the largest initial surges;
- acute use drugs experience stronger responses than chronic use therapies;
- generic products demonstrate substantially larger first-month increases than brand-name drugs;
- products listed on the World Health Organization or FDA essential medicines lists experience larger post-shortage surges than non-essential medicines; and
- drugs that are chronically in short supply show similar purchasing patterns to the broader set of shortage drugs with protective purchasing.