Payments from pharmaceutical companies to physicians are pervasive and associated with poorer-quality prescribing and increased health care costs.1 Little is known about payments to nonprescribing clinicians, despite their vital role in patient care, medication management, and health care administration.2 Assumptions persist among clinicians and policy makers that marketing to nonphysicians is inconsequential because they do not prescribe3; however, emerging evidence suggests that nurses and pharmacists frequently interact with sales representatives.2
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Karanges EA, Grundy Q, Bero L. Understanding the Nature and Extent of Pharmaceutical Industry Payments to Nonphysician Clinicians. JAMA Intern Med. Published online June 10, 2019. doi:10.1001/jamainternmed.2019.1371
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