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ETHICS IN MEDICINE   University of Washington School of Medicine

Managed Care:
Case 1

Mrs. Jones is a patient of yours who has hypertension that has been difficult to control. You recently tried a new once-daily calcium channel blocker by giving her some free office samples, and had good success in controlling her blood pressure.

Later that week, Mrs. Jones calls your office, upset because the health plan refuses to cover the brand name prescription you wrote for this new medication. A generic equivalent is covered, however. Mrs. Jones adamantly wants the name brand, expressing frustration with being unable to get the medication "that finally works"

What should you do?

Discussion

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