Insight, analysis & opinion from Joe Paduda

< Back to Home


Why MDs prescribe Vioxx

DB’s Medical Rants has an interesting discussion re why MDs prescribe Vioxx, Celebrex, etc. As MDs are the ones ultimately driving prescription volume, it bears reading.
HSA (my firm) is completing a study of prescription drug management in Workers’ Comp – one of the very preliminary findings is the strong opinion among WC payers that MDs are in large part responsible for Rx cost inflation.
Payers are frustrated that MDs are prescribing drugs patients don’t need, driving up short term costs with no attendant benefit to patients. Meanwhile, these decisions may very well lead to additional costs, as patients suffering cardiovascular events who also took COX-2s for WC injuries seek compensation from their WC payer.
The net – payers see MD prescribing behavior as abdicating responsibility, and increasing payer costs. Frustration is rampant.

2 thoughts on “Why MDs prescribe Vioxx”

  1. So, if doctors really are “prescribing drugs patients don’t need, driving up short term costs with no attendant benefit to patients,”
    the question becomes, “Why are they doing that?”

  2. the short answer is due to DTC advertising, pharma detailing, and patient demand. The longer answer is posted on RCentors’s blog –
    Another way to look at this is – MDs are prescribing these drugs because payers are paying for them. If payers would not pay for them, I doubt MDs would write the scripts. But, and admittedly this is a big but, that would require a major shift in PBM and prescription management…

Comments are closed.

Joe Paduda is the principal of Health Strategy Associates



A national consulting firm specializing in managed care for workers’ compensation, group health and auto, and health care cost containment. We serve insurers, employers and health care providers.



© Joe Paduda 2024. We encourage links to any material on this page. Fair use excerpts of material written by Joe Paduda may be used with attribution to Joe Paduda, Managed Care Matters.

Note: Some material on this page may be excerpted from other sources. In such cases, copyright is retained by the respective authors of those sources.