Question 13778 — pharmacy and medications

Summary

Ms. Marine Le Pen questions the Minister of Solidarity and Health about the numerous frauds committed on prescriptions issuing substitutes for opioid dependence. Introduced in France since 1995, high-dose buprenorphine (BHD, sold under the name Subutex) and methadone have proven their effectiveness in better care of drug addicts from a socio-health perspective, but are subject to misuse. worrying. BHD in particular is subject to very great freedom of prescription by general practitioners. In total, of all patients reimbursed for an opiate substitute medication (OSM) in 2012, 72% obtained their prescriptions exclusively through a town doctor (generally a general practitioner). To be able to benefit from treatment of this nature, the patient must sign a protocol with the social security requiring him to consult a single doctor for the prescription, and a single pharmacy for the dispensation of the medication. This protocol is often misused in view of the numerous letters sent by social security to pharmacies, informing pharmacists of the suspension of reimbursement of products for patients who have not respected the protocol. However, this reimbursement is not dissuasive because the amount suspended money is always less than the price of the quantity of medicine supplied. In fact, security suspends reimbursement for five months for nine deliveries in one month (that is to say after consulting nine different doctors and nine pharmacies in less than one month!). This medical nomadism can thus continue to prosper and is the subject of outright drug trafficking when MSOs are resold. She asks him thus if the Government considers that the reimbursement of substitutes is canceled for fraudulent patients and, on the other hand, that the delivery of MSO is reserved for detoxification centers only (general practitioners are often threatened by drug addicts so that they issue the prescription).

Machine translation from French. The official text remains authoritative.

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