A vending machine that dispenses prescription drugs? In an age of ever-increasing modern conveniences, have we finally taken things too far? Believe it or not, these machines cost about $60,000 each and are popping up across the U.S. in public clinics, hospitals and V.A. centers. The V.A. currently has about 55 machines in facilities across the U.S. Proponents are hoping the machines will save millions of dollars while helping to get drugs in the hands of low-income patients.

So how do these machine work? Typically, the doctor will fax a prescription to a pharmacist who works from a remote location. The pharmacist inputs the order and sends a message electronically to the machine that tells it which bottle of pills to dispense. Bar codes on the pills and labels reportedly ensure the right medicine is given to the patient. However, there is no mention in many states as to who is loading the medicine.

Most states then have a ‘staffer’ hand the medication bottle to the patient along with a paper that tells about drug interactions and side effects. After the medication is dispensed, the patient is asked if they want to speak to the pharmacist. If the patient answers yes, the patient is directed to a telephone on the unit which connects to a pharmacist.

But do these machines really help save money and get drugs to those in need? No one is sure. Unfortunately, there is no data to show that a machine dispensing prescription drugs does either of these things. There is speculation that nonprofit clinics who may not be able to afford a full pharmacy can use these machines instead and save money. However, no one has bothered to consider the potential INCREASED cost associated with hospitalizations and adverse drug events when patients receive their drugs without the direct intervention and oversight of a skilled pharmacist.

As expected, the idea of dispensing prescription drugs like candy bars is heavily opposed by pharmacists and State Boards of Pharmacy. The argument is that eliminating critical face-to-face contact between the patient and pharmacist does a disservice to the patient. Unless the patient indicates that they want to talk to the pharmacist, there does not appear to be an option for the pharmacist to initiate a conversation with the patient regarding other medications they might be taking, potential drug interactions, potential adverse drug events or the proper use of the drug.

Despite opposition, manufacturers of the units are moving forward with the distribution of the machines, partnering with state and federal programs to make the machines more affordable and available to clinics. Insurance companies in general are embracing the idea of drug vending machines. Perhaps too many have supported the idea of saving a few bucks up front while failing to consider patient safety.

Unfortunately, the insurance and manufacturing industries have strong lobbying capabilities, particularly when they join their efforts. If you feel like we do that the provision of prescription medications through vending machines like soft drinks is WRONG, we encourage you to contact your State Board of Pharmacy and State Legislature.