The impact of drug shortages is not new within the healthcare system, particularly at the hospital level, nor is the cost of drugs, however Fed Up with Drug Companies, Hospitals Decide to Start Their Own highlights a potential solution . The American Society of Health-System Pharmacists (ASHP) currently list 139 compounds currently undergoing shortages. Cost and supply challenges are becoming increasingly pronounced as some pharmaceutical companies discontinue manufacturing of product when they go generic, or a product is only made by a single supplier. As a result ~300 hospitals in the US are teaming up to try to resolve this challenge.
The group of hospitals aim to manufacture key generic products which have been subject to shortages and/or significant price increases. The result of this would help to lessen potential resource strains at times of shortages and lower costs due to cooperative manufacturing. The full details on the hospitals involved and overall plan is limited, it could signal a new path forward for hospitals to ensure quality and cost effective care.
As more details are revealed it will be important to assess the feasibility and sustainability for hospital based manufacturing. It is unknown how or where the product will be manufactured and how it will be distributed among the hospitals, which could have a significant impact on the success of the plan. In addition, hospitals will have to shoulder the burden of getting manufacturing up and running, which may have an impact on to time to availability, so it is unknown how long in the future they will be able to alleviate challenges associated with shortages and costs.
Overall, there are more questions than information at this time, however, it seems there is a potential solution in the works.