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(See Appendix C for methodology and description buy finasteride the sample, and Appendix D for survey instruments. ) These surveys reveal that most physicians and pharmacists believe that patients account for the bulk of the diversion problem. Physicians and pharmacists also perceive the three main mechanisms of diversion to be doctor shopping Buy finasteride patients obtain controlled prescription drugs from many doctors), patient deception or manipulation of doctors, and forged or altered prescriptions. In addition, CASA conducted intensive focus groups with physicians, pharmacists, dentists and veterinarians to determine their perceptions and attitudes about diversion and abuse of controlled -45- Figure 4. A Drug Manufacture and Distribution Potential Points of Diversion Raw ingredients for the drug are manufactured and sold by a Supplier Drug is manufactured and sold by a Pharmaceutical Company Drug is dispensed by Retail Pharmacies (including mail-order, Internet and brick and mortar pharmacies), Hospitals, Clinics and Nursing Homes Drug is prescribed (and in some cases dispensed) by Licensed Clinician Drug is sold propecia online without prescription Drug Wholesalers Pharmaceutical Companies In an effort to manufacture and sell products that benefit those with physical or psychological illnesses while at the same time maximize company profits, pharmaceutical company practices at times have contributed to the problems of prescription drug diversion and Drug Formulations Before a medication is released on the market, scientific tests are conducted by the manufacturer to assess its risk of abuse. 2 The manufacturer submits evidence to the FDA demonstrating the safety and effectiveness of the drug, disclosing its abuse potential and comparing its effects (including potential for abuse) to existing drugs.

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