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The Mystery Behind Medications for Coders

Lets face it. Medication can seem like a foreign language at times. On top of that most have two names each, a brand name and generic. You may know the name brand because you hear it in the media especially if it is a new drug on the market. Then it seems all of sudden they are calling it something else because the generic version has hit the market.

medications for codersMedications will come out in name brand and then when the patent runs out it is available in the generic form. At first there is only a slight reduction in the price of the generic compared to the name brand. If the first generic does well in the market other drug manufactures join in and you can see up to a 50% reduction in the cost for the public. The active ingredients in generic drugs are the same as in brand-name drugs. However, they may look different or have different inactive ingredients, such as fillers or coloring agents. Generic drugs approved by the Food and Drug Administration (FDA) must meet the same rigid standards of strength, quality and purity that are applied to brand-name drugs. (1)

Some medications are such great sellers they are considered “Blockbuster” drugs. That means they sell billions of dollars in a year. Below is a table with the leading blockbuster drugs for 2011. (2) It is important for all medical professionals to be aware of the medications used in market place both name brand and generic. Not only to assist with proper documentation but to follow the statistics. Lipitor for example by Pfizer sold 12.5 billion in 2011. It is used for high cholesterol. This tells us that high cholesterol is a definitely a problem in our society.

Anyone in the medical profession needs to be aware of pharmaceuticals and their uses. Staying on top of the terminology and indications will make us more aware of the needs of our patients.

Medications 101

Drug

Trade name

Indication

Company

Sales $billion/year)*
Atorvastatin Lipitor hypercholesterolemia Pfizer 12.5
Clopidogrel Plavix atherosclerosis Bristol-Myers Squibb
Sanofi
9.1
Fluticasone/salmeterol Seretide asthma GlaxoSmithKline 8.7
Esomeprazole Nexium acid reflux disease AstraZeneca 8.3
Rosuvastatin Crestor hypercholesterolemia AstraZeneca 7.4
Quetiapine Seroquel bipolar disorder
schizophrenia
AstraZeneca 7.2
Adalimumab Humira rheumatoid arthritis Abbott 6.6
Etanercept Enbrel rheumatoid arthritis Amgen
Pfizer
6.5
Infliximab Remicade Crohn's disease
rheumatoid arthritis
Johnson & Johnson 6.4
Olanzapine Zyprexa schizophrenia Eli Lilly 6.2

 

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2016-11-20T23:38:33+00:00

About the Author:

AliciaScott-Instructor
Alicia has been working in the medical field for over 20 years. She first learned about medical coding while working in a medical records department at a resort town hospital near where she was raised. Through the years she has held several jobs in the medical field from, CNA, EMT, Pharmacy technician and Medial Records Abstractor and Analyst. Outside of the medical field she has worked as a Real Estate agent, and owned her own on-line retail business. The medical field has always been where she felt the most comfortable. Alicia has taught medical coding, billing and medical law and ethics at a private college. She also did contract work in HCC Risk Adjustment and discovered she really enjoyed ICD work. Because she loves to learn Alicia is working towards her Masters in Health Care Administration with an emphasis on education. Having taken many online classes through the years to complete her degree she feels very comfortable with both face to face and on-line learning. Alicia will tell you that not only does she love medical coding but she has a passion for teaching it. Alicia lives in the middle of Texas with her husband who is a Pastor, five of her six children, three dogs and two cats.

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