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Study: Some clinics profit from heavier Epogen doses.

The Boston Globe (Boston, MA)

| April 18, 2007 | This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

Byline: Christopher Rowland

Apr. 18--For-profit dialysis chains in the United States give patients larger doses of the expensive antianemia drug Epogen compared to nonprofit clinics, according to a study to be published today in the Journal of the American Medical Association.

In many cases, the larger doses boost red blood cell levels beyond what is recommended by the Food and Drug Administration, the study said.

The article suggests the increased use of Epogen is the result of financial incentives built into the federal Medicare reimbursement rate for the drug, and volume discounts offered by its manufacturer, Amgen Inc., of Thousand Oaks, Calif.…

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