Dispensing limits safeguarded medication supply from pandemic panic buying in 2020

Publicly released:
Australia; VIC
Photo by National Cancer Institute on Unsplash
Photo by National Cancer Institute on Unsplash

The government-imposed dispensing limits on medications during the COVID-19 pandemic safeguarded medication supply from panic buying, according to Aussie researchers. The team analysed the number of prescriptions dispensed between 2016 and 2019 to establish dispensing trends and compared this data to the COVID-19 pandemic in 2020. They found that the number of prescriptions dispensed during March 2020 was significantly higher than predicted as a result of panic buying, but was then much lower in April and May when the government imposed dispensing limits and services to aid people who were isolating and needed medications. The researchers suggest medication supply can be safeguarded from panic buying with regulatory policies and medication services for vulnerable people.

Media release

From: Medical Journal of Australia (MJA)

DISPENSING LIMITS, DELIVERY SERVICES CURB MEDICATION PANIC BUYING EARLY IN PANDEMIC

POLICIES introduced in March 2020 offset panic buying of medications at the start of the COVID-19 pandemic, proving medication supply can be safeguarded, according to research published today by the Medical Journal of Australia.

Dr Mustafa Mian, a physician at Alfred Health in Melbourne, and colleagues analysed Pharmaceutical Benefits Scheme date-of-supply data to model medication dispensing during January 2016 to December 2019, by month, separately for all PBS prescriptions, the 10 medications most frequently dispensed during the 2018‒19 financial year, hydroxychloroquine, and dexamethasone. These models, which accounted for long term trends and seasonal changes, were used to predict expected dispensing during January ‒ June 2020 and compared it with actual dispensing rates during this period.

“The number of prescriptions dispensed during March 2020 was significantly higher than predicted (4.80 million more prescriptions, +18.5%), but significantly lower in April (2.28 million fewer prescriptions, ‒9.2%) and May (2.08 million fewer prescriptions; ‒8.1%); there was no significant difference in June 2020 (988 778 fewer prescriptions, ‒3.8%),” Mian and colleagues found.

“A similar pattern applied to the 10 most dispensed medications; the increase in the number of hydroxychloroquine prescriptions dispensed in March was particularly large (24 286 more prescriptions, +95.5%).”

Mian and colleagues wrote that the increased dispensing of prescription medications in March 2020 was consistent with the general panic buying reported early in the COVID-19 pandemic.

In response to the March increase, the Australian government introduced dispensing limits of one month’s supply of medications if shortages would have serious health consequences. That was balanced with services to assist susceptible patients to isolate themselves, including the COVID-19 home medicines service which funded home delivery of prescription medications by community pharmacies and Australia Post; as well as funding for telehealth to facilitate remote prescribing.

“Our findings indicate that medication supply can be safeguarded from panic dispensing by a range of regulatory policies combined with medication services for vulnerable people,” Mian and colleagues concluded.

“This may be particularly important for ensuring equitable access to medications for treating COVID-19. The risk of further COVID-19 outbreaks underscores the importance of maintaining these policies and services.”

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