We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Comment & Response |

The Good, the Bad, and the Ugly of Free Drug Samples

Brian Poligone, MD, PhD1
[+] Author Affiliations
1Department of Dermatology, University of Rochester School of Medicine, Rochester, New York
JAMA Dermatol. 2014;150(11):1237-1238. doi:10.1001/jamadermatol.2014.1820.
Text Size: A A A
Published online


To the Editor I read with interest the article by Hurley et al1 that sets out to describe the relationship between free drug samples and dermatologists’ prescribing patterns. The authors duly note their study limitations, including its restriction to a single academic medical center, its representation of the nonacademic pool by the National Disease and Therapeutic Index (NDTI), and its inability to control for other factors such as pharmaceutical marketing or even differences in patient demographics in such a small pool of patients at only 1 academic medical center. As a former participant in the NDTI database—who stopped participating because it was too cumbersome to effectively provide data—I am skeptical of the validity of the study data. However, the authors did a fine job at presenting the data with balance and ultimately suggesting that free drug samples may lead to a higher cost in acne vulgaris treatment. This was thought provoking even if limited in its ability to answer the ultimate question.


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





November 1, 2014
Kenneth A. Katz, MD, MSc, MSCE; Erika E. Reid, MD; Mary-Margaret Chren, MD
1Department of Dermatology, The Permanente Medical Group Inc, Pleasanton, California
2Department of Dermatology, University of Pennsylvania, Philadelphia
3Department of Dermatology, University of California, San Francisco4San Francisco Veterans Affairs Medical Center, San Francisco, California
JAMA Dermatol. 2014;150(11):1238. doi:10.1001/jamadermatol.2014.1815.
Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

See Also...