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Jeffrey Conn, Vanderbilt University mGlu receptors: Beyond the regulation synaptic transmission. Ferdinando Nicoletti, University of Catania, Italy MONDAY, April 30, 3: 00 5: 30 Early Clinical Development Strategies for Monoclonal Antibody Experimental Agents in Non-Oncology Indications Chair: Mary A. Mascelli Anti IL-12 23 monoclonal antibody for psoriasis: Biomarker validation of mechanism-of-action and disease pathogenesis. Kevin D. Cooper, Case Western Reserve University and University Hospitals of Cleveland Early development of drugs with new mechanisms of action. Question-based rather than study-based development. Adam F. Cohen, Center for Human Drug Research, Leiden, The Netherlands Immune response analysis for monoclonal antibodies in development: Past experience and new expectations. Carrie L. Wagner, Centocor, Inc. Regulatory considerations related to the design of early clinical trials of monoclonal antibody experimental agents. 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At its Oct. 27 meeting, Hall County Board of Commissioners presented a proclamation commending Dr. Melody Stancil upon her retirement after 14 years as District 2 Health Director. "It has been a privilege to serve the people of Hall County, and I will be forever grateful to the Commissioners for their support, " said Dr. Stancil, who was accompanied by her 95-year-old father, Hoke Stancil.

Ss IMPACT OF ELECTRONIC PRESCRIBING TECHNOLOGIES ON GENERIC COMPLIANCE Wogen SE * , Miller MY, Heller J. Medco Health Solutions, Inc. 100 Parsons Pond Dr., Franklin Lakes, NJ 07417 PURPOSE: Electronic prescribing technology was implemented in 2, 400 physician offices. We hypothesized that by providing physicians with generic drug status and alternatives at the point of prescribing, generic utilization would increase. METHODS: Generic rates were compared pretechnology and posttechnology installation. Analyses were conducted to determine the percentage of time a physician changed his or her originally prescribed medication when presented with a clinically relevant generic alternative postselection of the original drug. Statistical testing t tests ; was used to determine presignificance versus postsignificance. RESULTS: Presentation of generic status and alternatives at the point of prescribing led to a 14.3% increase in generic substitution i.e., the percentage of time a generic medication was prescribed when a generic alternative was available; P .01 ; and a 7.6% increase in generic dispensing i.e., the percentage of time a generic medication was ever dispensed, P .01 ; between January and December 2002. Ninety-four percent of this increase was driven by passive presentation of generic status at the point of prescribing. The remaining 6% improvement was driven by alternative messaging after the physician selected a branded product. The increase in generic prescribing was immediate upon implementation and sustained over time. CONCLUSIONS: Managed care organizations and benefits managers should consider the promotion of electronic prescribing technologies as a cost-effective alternative to potentially expensive and intrusive physician generic education programs. Additional benefits of electronic prescribing include potential reduction in medication errors and reductions in the amount of rework and member inconvenience associated with the prescription process. LEARNING OBJECTIVES: 1. Learn the potential value of electronic prescribing technologies in promoting the use of generic medications. 2. Understand the potential return on investment of electronic prescribing technologies versus traditional forms of communication fax, phone, mail ; . 3. Recognize some of the potential barriers to electronic prescribing acceptance in the physician community.

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