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RISING CO-PAYS AFFECT PRESCRIPTION REFILLS

Americans may be cutting

back on prescription drugs as co-

payments rise, finds a study

in the Journal of the American

Medical Association.

Instead, many patients choose over-the-

counter drugs that treat

only basic symptoms, say researchers

from RAND in Santa , Calif.,

who analyzed data from

medical and pharmacy claims

of 528,969 U.S.

adults from 1997

to 2000 -- a time in which

co-payments roughly doubled. The

authors found the largest

drops in patients' use of non-

steroidal anti-inflammatory

drugs and antihistamines, at 45

percent and 44 percent

respectively. Cholesterol-lowering

drugs, antiulcerants and

antiasthmatics each dropped by

about a third, while

antihypertensives, antidepressants and

antidiabetics each were

reduced by about a fourth. The

authors conclude that

increasing co-payments " raise concern

about adverse health consequences. "

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