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Ensuring Access to Medications in the US During the COVID-19 Pandemic

Educational Objective
To understand how the COVID-19 pandemic may affect the US’s access to medication
1 Credit CME

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Article Information

Corresponding Author: G. Caleb Alexander, MD, MS, Johns Hopkins Bloomberg School of Public Health, Department of Epidemiology, 615 N Wolfe St, W6035, Baltimore, MD 21205 (galexan9@jhmi.edu).

Published Online: April 9, 2020. doi:10.1001/jama.2020.6016

Conflict of Interest Disclosures: Dr Alexander reported that he is past chair of FDA’s Peripheral and Central Nervous System Advisory Committee; has served as a paid advisor to IQVIA; is a cofounding principal and equity holder in Monument Analytics, a health care consultancy whose clients include the life sciences industry as well as plaintiffs in opioid litigation; and is a member of OptumRx’s National P&T Committee. This arrangement has been reviewed and approved by Johns Hopkins University in accordance with its conflict of interest policies. Dr Qato is a paid consultant for Public Citizen’s Health Research Group and is a fellow of the National Academy of Medicine.

References
1.
US Food and Drug Administration. Coronavirus (COVID-19) supply chain update. February 27, 2020. Accessed March 24, 2020. https://www.fda.gov/news-events/press-announcements/coronavirus-covid-19-supply-chain-update
2.
Oehler  RL , Gompf  SG .  Shortcomings in the US pharmaceutical supply chain: potential risks associated with international manufacturing and trade-related tariffs.   JAMA. Published online March 16, 2020. doi:10.1001/jama.2020.1634PubMedGoogle Scholar
3.
Medicine Use and Spending in the United States: A Review of 2018 and Outlook to 2023. Published May 2019. Accessed March 23, 2020. https://www.iqvia.com/insights/the-iqvia-institute/reports/medicine-use-and-spending-in-the-us-a-review-of-2018-and-outlook-to-2023
4.
Ferguson  NM , Laydon  D , Nedjati-Gilani  G ,  et al; Imperial College COVID-19 Response Team. Impact of non-pharmaceutical interventions (NPIs) to reduce COVID-19 mortality and healthcare demand. Published March 16, 2020. Accessed March 23, 2020. https://www.imperial.ac.uk/media/imperial-college/medicine/sph/ide/gida-fellowships/Imperial-College-COVID19-NPI-modelling-16-03-2020.pdf
5.
Erman  M . J&J’s Tylenol production at maximum capacity as coronavirus boosts demand. Reuters. March 19, 2020. Accessed March 23, 2020. https://www.reuters.com/article/us-health-coronavirus-johnson-johnson/jjs-tylenol-production-at-maximum-capacity-as-coronavirus-boosts-demand-idUSKBN2162FU
6.
Marchione  M . Malaria drugs’ promise for coronavirus spurs hope, shortages. New York Times. Published March 23, 2020. Accessed March 23, 2020. https://apnews.com/2f3dd1099c6054bb5015391b9a6f3b0c
7.
World Health Organization Model List of Essential Medicines: 21st List 2019. World Health Organization; 2019. Accessed March 23, 2020. https://apps.who.int/iris/bitstream/handle/10665/325771/WHO-MVP-EMP-IAU-2019.06-eng.pdf?ua=1
8.
McKesson’s response to coronavirus (COVID-19). Posted March 20, 2020. Accessed March 24, 2020. https://www.mckesson.com/About-McKesson/Coronavirus-Response/
9.
CVS Health announces additional COVID-19 resources focused on patient access: latest enhancements will help prevent interruption of medication availability. March 9, 2020. Accessed March 24, 2020. https://cvshealth.com/newsroom/press-releases/cvs-health-announces-additional-covid-19-resources-focused-patient-access
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