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Factor V Leiden ThrombophiliaFactor V Leiden thrombophilia On this page: Reviewed August 2010 What is factor V Leiden thrombophilia Factor V Leiden thrombophilia is an inherited disorder of blood clotting. Factor V Leiden is the name of a specific gene mutation that results in thrombophilia, which is an increased tendency to form abnormal blood clots that can block blood vessels. People with factor V Leiden thrombophilia have a higher than average risk of developing a type of blood clot called a deep venous thrombosis (DVT). DVTs occur most often in the legs, although they can also occur in other parts of the body, including the brain, eyes, liver, and kidneys. Factor V Leiden thrombophilia also increases the risk that clots will break away from their original site and travel through the bloodstream. These clots can lodge in the lungs, where they are known as pulmonary emboli.

Although factor V Leiden thrombophilia increases the risk of blood clots, only about 10 percent of individuals with the factor V Leiden mutation ever develop abnormal clots. The factor V Leiden mutation is associated with a slightly increased risk of pregnancy loss (miscarriage). Women with this mutation are two to three times more likely to have multiple (recurrent) miscarriages or a pregnancy loss during the second or third trimester. Some research suggests that the factor V Leiden mutation may also increase the risk of otherplications during pregnancy, including pregnancy-induced high blood pressure (preeclampsia), slow fetal growth, and early separation of the placenta from the uterine wall (placental aption). However, the association between the factor V Leiden mutation and theseplications has not been confirmed. Most women with factor V Leiden thrombophilia have normal pregnancies. Howmon is factor V Leiden thrombophilia Factor V Leiden is the mostmon inherited form of thrombophilia.

Between 3 and 8 percent of people with European ancestry carry one copy of the factor V Leiden mutation in each cell, and about 1 in 5,000 people have two copies of the mutation. The mutation is lessmon in other populations. What genes are related to factor V Leiden thrombophilia A particular mutation in the F5 gene causes factor V Leiden thrombophilia. The F5 gene provides insctions for making a protein called coagulation factor V. This protein plays a critical role in the coagulation system, which is a series of chemical reactions that forms blood clots in response to injury. The coagulation system is controlled by several proteins, including a protein called activated protein C (APC). APC normally inactivates coagulation factor V, which slows down the clotting process and prevents clots from growing too large. However, in people with factor V Leiden thrombophilia, coagulation factor V cannot be inactivated normally by APC. As a result, the clotting process remains active longer than usual, increasing the chance of developing abnormal blood clots. Other factors also increase the risk of developing blood clots in people with factor V Leiden thrombophilia. These factors include increasing age, obesity, injury, surgery, smoking, pregnancy, and the use of oral contraceptives (birth control pills) or hormone replacement therapy. The risk of abnormal clots is also much higher in people who have abination of the factor V Leiden mutation and another mutation in the F5 gene.

Additionally, the risk is increased in people who have the factor V Leiden mutation together with a mutation in another gene involved in the coagulation system. Read more about the F5 gene. How do people inherit factor V Leiden thrombophilia The chance of developing an abnormal blood clot depends on whether a person has one or two copies of the factor V Leiden mutation in each cell. People who inherit two copies of the mutation, one from each parent, have a higher risk of developing a clot than people who inherit one copy of the mutation.

Considering that about 1 in 1,000 people per year in the general population will develop an abnormal blood clot, the presence of one copy of the factor V Leiden mutation increases that risk to 3 to 8 in 1,000, and having two copies of the mutation may raise the risk to as high as 80 in 1,000. Where can I find information about diagnosis or management of factor V Leiden thrombophilia These resources address the diagnosis or management of factor V Leiden thrombophilia and may include treatment providers. You might also find information on the diagnosis or management of factor V Leiden thrombophilia in Educational resources and Patient support . General information about the diagnosis and management of gic conditions is available in the Handbook. Read more about gic testing. particularly the difference between clinical tests and research tests .

Where can I find additional information about factor V Leiden thrombophilia You may find the following resources about factor V Leiden thrombophilia helpful. These materials are written for the general public. You may also be interested in these resources, which are designed for healthcare professionals and researchers. What other names do people use for factor V Leiden thrombophilia

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We take customer privacy and protection very seriously and take all necessary steps and safety precautions. Shipping Information: 1) Our policy is to process, fill, and ship all orders received within one business day of receiving the order. 2) Orders are shipped using the method of customer choice. 3) We can ship to different addresses, each address will be treated like a different order.

Please fill out a new order for each delivery address. 4) You should receive an automatically generated email from the yahoo system when your order is successful and is available for us to process. 5) When we have processed your credit card, and packed your order we will put a delivery confirmation tracking number on the package and enter it in your order information. We then Update your order information and you should receive an e-mail that indicates that your order has shipped, including your tracking information.

Shipping Handling Charges : We believe our shipping and handling rates to be verypetitive and fair, as well as our product pricing. There are several costs involved in shipping packages and we would like for all of our customers to know exactly what they are being charged for and why. To have a better understanding of how we calculate the price you pay for shipping and handling we have put together a detailed list of our costs for handling and shipping your merchandise. Please keep in mind that some of the following detailed costs are divided among thousands of orders which means that the shipping and handling rate you are paying may only be increased by pennies for some of the following items. Our shipping and handling charges are based on the following: POSTAGE. This cost is based on the weight of the package and shipping method, i. e. First Class, Priority, Ground, Express, etc. INSURANCE.

We insure all packages through the shippingpany as well as in-house. If your package is lost/misplaced, stolen, late, damaged, etc, we will replace it at no additional cost to you. Even if the shippingpany will not cover the cost, we will still replace your package immediately, and at our cost. TRACKING DELIVERY CONFIRMATION. We pay additional fees to be able to track all packages that are shipped out and to get confirmation when they are delivered. This benefits our customer to know when to expect their package and in the case that a package does not arrive on time, or at all, so that we can replace the package and/or take steps to expedite the delivery. PACKING MATERIALS.

We pay a separate cost for each of the following: boxes, padded envelopes, packaging peanuts and other padding, tape, labels, printer rental, ink, etc. This cost is very minimal when divided among all packages that are shipped, but it is an added expense for shipping packages. LABOR COSTS. We employ an entire department to package and ship your merchandise. POST OFFICE DELIVERY. All packages that are shipped via the US Postal service are hand delivered to the Post Office by an in-house employee. This ensures that your package is shipped out the same day that your order is processed, rather than waiting until the following morning for pick up. OTHER. There are a number of additional miscellaneous costs we ace to ship packages such as obtaining and maintaining specific software systems, our emailing system for sending customers their tracking information, etc. During the order process the charge for shipping and handling will be displayed exactly before you are asked to pay. so -- -- ADDING ITEMS SAVES YOU MONEY Then you choose how fast (and how expensive) you want your products to be shipped Express orders will have an additional 2.00 handling fee. Please note that the USPS does not have a guaranteed overnight program for all locations. Some locations are 2nd day delivery. Orders to Canada Please choose the option of Canada for the shipping option.

Foreign orders may require special handling and payment processing delays up to 3 business days due to Fraud potential. Please note the actual shipping costs have increased significantly in the last few years. All overseas shipments will be sent small package air mail They will have a customs form attached and it is the responsibility of the buyer to pay any customs fees due. We will add up to an additional 12.00 to foreign orders. Please note choose only the Foreign Non-USA address for the shipping option. Foreign orders - Do not select any other shipping option as it will delay your order processing. Those services are not available. Return Policy: If you are not satisfied with an item that you ordered please: Contact us immediately by phone or email, 1.888.473.5696, RASScontactyahoo to inform us of the return and a brief reason why you are returning the merchandise. ALL returned merchandise must be post-marked within 30 days of your purchase date ALL pumps and pump packages may be returned after use, but all items within the package must be returned and you must clean the items prior to returning. Certain items within the deluxe pump packages may not be credited if opened and/or used, (i. e. if you open 2 bottles of lubricant you may not receive credit for 1 of the bottles).

ALL other products may ONLY be returned if they have not been opened or used. We do not credit for shipping amp handling charges. Credit to your account, or card, is typically processed within 10 business days from receiving the returned package. Once processed on our end it can take a few days to reach your account, and may show as a pending credit for a few more days, depending on your bank/credit cardpany. Returns are treated separately from Warranty issues. If you received a product that you believe is defective please contact us immediately so that we may assist you on an individual basis. We are able to replace certain products under warranty guidelines if notified within 30 or 60 days, and certain products are replaceable by the manufacturer. CyberWorld Marketing LLC has engaged in on linemerce since 1996 Here is a great tip - to bookmark a site - - - Ctrl D Bookmark this site for great intimate products value All Packages are return address of: RA Support Services PO Box 46469, Plymouth, MN 55441. Payment may be made with a credit card selected from the list, by your personal check, cashiers check, or money order.

When sending a paper payment please use the special arrangements selection and make a note in thements section how you will be paying. Orders over 125.00 may be held until the check clears. google-site-verification: google9b67ab177a2fffb2These links are provided merely to help you be acquainted with the products and their prices. Phoenix5 has no connection to thesepanies, receives nopensation and cannot vouch for thepany or the product.

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Drug Testing In The Workplace

Drug Testing In The Workplaceg Testing in the Workplace Workplace g Testing Employee Rights and Concerns Although its called g testing in the workplace or workplace g testing . it might be conducted either inside or outside of your workplace. Both are just the mostmonly-used terms for job-candidate and employee g testing. Legality of g Testing in the Workplace g testing in the workplace became legal when President Reagan signed quotExecutive Order 12564 -- g-free Federal workplace quot. In turn, that spawned the g-Free Workplace Act of 1988. Although both apply only to the workplaces of Federal employers and Federal contractors and grantees, private-sector employers immediately followed the governments lead because they legally could.

However, there is much controversy over the legality of g testing in the workplace, especially the legality of random g testing. Many legal professionals consider it to be a personal privacy invasion and an unreasonable search and seizure, contrary to our rights granted by the Fourth and Fourteenth Amendments to the U. S. Constitution. Subsequently, employee g testing lawsuits have and continue to challenge the legality of g testing. See a lawyer about challenging the legality in your particular situation.

Discipline for Failing g Testing in the Workplace If you fail g testing in the workplace, then the employer likely has the right to take disciplinary action against you, such as firing or refusing to hire you. However, the g-Free Workplace Act of 1988. certain Federal regulations and some state g testing laws encourage or require employers to allow offenders to choose a substance-abuse treatment program in place of employment termination . For example, instead of outright firing you, your employer might ban you from performing safety-sensitive duties until you successfullyplete a course, counseling or treatment program and then pass a quotreturn to dutyquot g test. Thats particularly so if you work in an industry regulated by the U. S. Department of Transportation (DOT) or for apany that follows Department of Transportation workplace g testingles .

The Department of Transportation tightened its return-to-duty and follow-up g testingles in 2009. For more information, see the blog post Alcohol amp g Tests Toughen for Transportation Workers. A state unemployment law might deny you unemployment benefits if you get fired for failing a workplace g test, while COBRA or a state equivalent law might deny you extended health-insurance benefits for same. A state workerspensation law might deny you workerspensation benefits if you get injured on the job and test positive for a g. Considering all the legal obstacles that g testing has and still faces, and the absence or lacking of state g testing laws, you might be able to challenge related disciplinary action in court and win. Many employees have filed workplace g testing lawsuits and won, even after they didnt pass g tests.

See a lawyer about challenging disciplinary action. You likely wont be arrested, as failing a g test is not the same as getting caught red-handed possessing or doing an illegal g in the workplace. However, if your employer catches you possessing or doing an illegal g, thats a different matter. Your employer has the right to call the police, who might arrest you. Keep in mind that quotBig Brotherquot is likely to be watching you, whether or not you know it. g Testing in the Workplace gt 1 8226 2 8226 3 8226 4 8226 5 8226 6G TESTING IN THE WORKPLACE Under Texas and federal laws, there is almost no limitation at all on the right of private employers to adopt g and alcohol testing policies for their workers. Government employers are not so free, due mainly to court decisions holding that testing employees without showing some kind ofpelling justification violates government employees rights to be safe from unreasonable searches and seizures. g testing is not for everyone. Apany should do it only after careful consideration of many factors, including applicable statutes and regulations, contract or insurance requirements, andbatting some perceived problem with substance abuse among the workers. g testing, for example, may be mandated for some types of employees, as is the case with workers subject to U. S. Department of Transportation mandatory testing guidelines.

Some federal contracts and grants may require employers to adopt g-free workplace policies and possibly even to provide for g-testing of employees. Other employers may be under no legal obligation to do testing, but feel it is needed due to reports that some employees may be unsafe due to being under the influence of gs or alcohol. Regardless of the reason for testing, it is essential to carefully draft the policy and consider the various legal issues. Most policies start out by emphasizing in positive terms the need for safety in the workplace and adherence to job requirements and work quality, and go on to cite goals such as improving safety and productivity. The policy should address certain questions: What will be considered a violation (necessary) Will thepany allow rehabilitation (optional - not required by any Texas or federal law) For an example of such a policy, see the g testing policy section of quotThe A to Z of Personnel Policiesquot. Like any policy, a g and alcohol policy should be given in writing to all employees. Employees should sign a written acknowledgment that they have received a copy of the policy.

Employers usually make signing such a policy a condition of being hired. While it ismon for such a policy to be part of an overall policy manual, it is probably best to have each employee sign a separate form consenting specifically to the search and testing policy. What if an employee refuses to sign the policy It would be legal to fire the employee for refusing to sign an acknowledgment of the policy, but that should not be done until and unless the employee has been warned, preferably in writing and witnessed by others, that discharge can result from refusal to sign. An alternative to such a hard-line approach would be to hold a mandatory staff meeting, publish an agenda for the meeting showing as one of the items quotdistribution of new g-testing policyquot, have all employees sign an attendance roster or else face discipline for an unexcused absence, discuss and distribute the policy in front of witnesses, have employees sign an acknowledgment of receipt, have a witness sign quotemployee refused to signquot on the acknowledgment form if an employee refuses to sign, and note in the minutes of the meeting that the policy was distributed to everyone in attendance. In such a case, an employee would look pretty ridiculous trying to claim that they were not given a copy of the policy or that they were unaware of what the policy required. Can apany test some, but not all, employees It is legal to test some, but not all, employees, but an employer must be careful. The policy should cover all employees in specific job categories. For example, thepany could make all workers who operate machinery or vehicles subject to g testing, but not require testing of clerical staff. Some employers test only those employees whose jobs are inherently risky.

Somepanies would not even do g testing were it not for certain laws, such as the DOT g testing regulations for long-haul ck drivers, oil and gas pipeline workers, and so on. Some contracts specify that workersing into a clients facility will be subject to g testing. If that happens, the contractor does not also have to test its other employees who do not go onto that clients premises. The main thing is to decide who will be covered, and then to enforce the policy in an even-handed way. What about discipline or rehabilitation for employees who test positive Mostpanies notify employees that testing positive for gs or alcohol will result in immediate termination. Somepanies allow a chance for rehabilitation and a return to work under probationary conditions, but this type of second chance is not required under Texas or federal law. If a worker is allowed to return to work after a positive test result, it is generally under a quotlast chancequot agreement providing for monthly random tests, a years probation, and immediate termination for any subsequent positive test result. How about searches Manypanies incorporate a search policy into their g testing policies. After all, a g test is a type of search. For an example of such a provision, click here and read the sample g-testing policy.

What if an employee refuses to cooperate An employer should never physically force an employee to submit to a search, due to the risk of civil and criminalplaints involving assault, battery, false imprisonment, invasion of privacy, and intentional infliction of emotional distress. However, employers may provide in the policy that employees who refuse to submit to a reasonable search under the policy, or who refuse to undergo a g test, will be subject to immediate termination. In case of such refusal, termination should not occur until the employee has been reminded of the policy and of the risk of termination for nonpliance. Under what circumstances should testing take place A typical policy will provide maximum flexibility for the employer. Apany is allowed to do both random and quotfor causequot testing.

Both circumstances should be spelled out to let employees know under what circumstances they can be called upon to submit to a test. For example, a quotrandomquot test might involve periodically testing all covered employees twice a year at intervals specified by thepany. Thepany might send two employees each week for testing, but any given employee would only be sent twice in a year. quotFor causequot circumstances might include such things as reasonable suspicion by a supervisor that an employee may be in violation of the policy, reports from any witnesses, bizarre, unsafe, or threatening behavior on the employees part, or involvement in a work-related accident (quotinvolvementquot means either being hurt or causing or contributing to the accident). Other things could be included as well the term quotfor causequot is up to the employer to define. Terms used in the policy should be either readily understandable, i. e. with plain and unmistakable meanings, or else should be carefully defined. It is extremely important that the policy be understood by everyone who might be affected by it:pany officials, lower-level supervisors, employees, the employers insurancepany, and government agencies, including courts, who might have to decide cases arising out of a g test.

Pre-employment g Testing Pre-employment g testing is something that some employers choose to do for applicants. It is not regarded under the ADA as a medical examination, so it may be done at any point of the selection process, but due to cost issues, mostpanies restrict such testing to the final candidates for a position. Regarding the issue of who pays for the test, mostpanies assume that burden. Texas and federal law do not have specific provisions one way or the other, but if requiring an applicant to pay for a pre-employment g test would have the effect of discouraging minority applicants, or else effectively result in less than minimum wage for the employees first paycheck, EEOC and/or the U. S. Department of Labor may have concerns under EEO or minimum wage laws. It would be best to let doubtful cases be reviewed by employment law counsel prior to such testing.

Even though g tests themselves are not covered by the ADA, the results from such tests are considered medical records and should be kept in a separate, confidential medical file just as other types of medical records must be maintained under the ADA. Regarding workerspensation laws Former Section 411.091 of the Texas Workerspensation Act (repealed in 2005) required any employer that is covered under a workerspensation policy and that has 15 or more employees to have a g-free workplace policy and to distribute the policy to all employees. Although the law did not require suchpanies to provide for g testing, TWCCles 169.1 and 169.2 state that if g testing is done, the policy should be given in writing to all employees and should specify what penalties may be imposed in case of positive g test results. While the statutory basis for those twoles may be in doubt, the intent behind theles remains a good practice, i. e. any important policy should be in writing and should be specific as to requirements and penalties. Clarity is essential It should be very clear what is prohibited under the policy. While quotuse, possession, sale, or transferquot may be easy to understand, the concept of how the g or alcohol test will reveal a violation is not so straightforward. It is very important to define exactly what will be regarded as a violation in this regard. Some employers are concerned only if the test shows g or alcohol levels above a certain quotcutoffquot point.

Other employers take a more hard-line or quotzero tolerancequot approach, stating that the policy is violated if a test detects any amount of prohibited substances in an employees system. Whatever the employer regards as important, it should be clearly spelled out. Find a good g-testing lab prior to enforcing the policy Nopany should begin g testing until it has found and engaged a reliable g-testing lab that will be willing to cooperate with the employer in the event that a lawsuit or claim arises from the test. No lab should be used unless it agrees in writing to routinely provide thepany with copies of the test results, showing which tests were performed, what substances were found, and in what amounts (either specific concentrations or an indication of what the cut-off levels for a positive result were). It should also furnish a copy of theplete chain of custody of the urine, hair, or blood sample showing who handled the sample at various times in the testing process. Employers that fail to present those types of documentation in response to an unemployment claim will lose the UI claim.

What type of testing should be done Initial tests or screens vary, but in order to have the best chance of protecting thepany against an unemployment claim, the employer should always have the lab confirm the initial positive result with a confirmation test using the GC/MS method (gas chromatography/mass spectrometry). The GC/MS test is more expensive than the initial screen, but TWC expects to see the results of both tests before it will disqualify a claimant from UI benefits. What about confidentiality Test results should be considered absolutely confidential. Negligent release of test results could result in legal action over issues such as invasion of privacy, intentional infliction of emotional distress, and defamation. Due to the federal law (ADA), it is necessary to maintain such records in a separate, confidential medical file.

As a practical matter, the HIPAA privacyle can make it difficult for employers to obtain specific g test results from the testing lab. For that reason and others, employers should have employees sign a properly-worded consent form allowing the testing lab to release such results to the employer, and allowing both the testing lab and the employer to release the results to TWC and to any other agency or court dealing with a claim or lawsuit arising from the test. For a sample of such a form, see the g and/or Alcohol Testing Consent Form in the section of this book titled The A to Z of Personnel Policies. Does it violate confidentiality laws to release the test results to TWC No. Many employers misunderstand the laws in this regard. Even highly-regulated and otherwise restrictive DOT testing procedures allow employers to release the results to courts, government agencies, or arbitrators dealing with claims arising from the g test, and g testing labs are required to release the results to employers upon request in such situations (see DOT regulation 49 C. F.R. 40.323 (PDF)). There is simply no substitute for the specific g test results in an unemployment claim. Employers with lingering doubts on this issue should call the employermissioners office at TWC at 1-800-832-9394.

What special concerns are there in DOT g testing cases U. S. Department of Transportationles provide for g testing via urinalysis of safety-sensitive employees in a variety of circumstances and for relieving such employees of duty in the event of a verified positive result or a test refusal. The DOTles provide detailed procedural safeguards to ensure valid testing, valid results, and confidentiality. Theles are not meant to be a substitute for a good g and alcohol policy, nor are they a limit on what employers are allowed to do in order to discourage and respond to g and alcohol use on the job. With regard to how the DOTles interact with a TWC unemployment claim, TWC precedent case 1051204 (MC 485.46, Appeals Policy and Precedent Manual) holds that proof ofpliance with DOT standards regarding MRO review can serve as proof of confirmed g test results (see requirements 3, 4, and 5 below). Finally, what kind of documentation is needed in a TWC unemployment claim A TWC precedent case, Appeal No. 97-003744-10-040997, sets out some fairly clear guidelines regarding the kind of documentation an employer needs to respond to an unemployment claim involving an ex-employee whose termination resulted from failing a g test. To establish that a claimants positive g test result constitutes misconduct, an employer must present: a policy prohibiting a positive g test result, receipt of which has been acknowledged by the claimant evidence to establish that the claimant has consented to g testing under the policy documentation to establish that the chain of custody of the claimants sample was maintained documentation from a g testing laboratory to establish than an initial test was confirmed by the Gas Chromatography/Mass Spectrometry method and documentation of the test expressed in terms of a positive result above a stated test threshold. Evidence of these five elements is what TWC states is needed to ovee a claimants sworn denial of g use. That is why it is so important to have each employee sign a consent form allowingplete disclosure of all test documentation by both the testing lab and the employer for the purpose of responding to claims and lawsuits.

Summing up All in all, mon sense will help more than anything else. If apany has a clear written policy, ensures that all employees know about it, conducts tests according to the policy, and insists on the testing lab furnishing the appropriate documentation, it will be in a favorable position in any unemployment case or lawsuit arising from the test.

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Free Lipitor, Viagra, Other Drugs For JoblessFree Lipitor, Viagra, Other gs for Jobless Pfizer Inc. is unveiling a new program Thursday that will let people who have lost their jobs and health insurance keep taking some widely prescribed Pfizer medications including Lipitor and Viagra for free for up to a year. The worlds biggest gmaker will provide more than 70 of its prescription gs at no cost to unemployed, uninsured Americans, regardless of their prior ie, who lost jobs since Jan. 1 and have been on the Pfizer g for three months or more. The announcementes amid massive job losses caused by the recession and a campaign in Washington to rein in health care costs and extend coverage. The move could earn Pfizer some goodwill in that debate after long being a target of critics of g industry prices and sales practices. The program also likely will help keep those patients loyal to Pfizer brands. quotEverybody knows now a neighbor, a relative who has lost their job and is losing their insurance.

People are definitely hurting out there, quot Dr. e Puente, Pfizers head of pharmaceuticals outside the U. S. and Europe and a champion of the project, told The Associated Press in an exclusive interview Wednesday. quotOur aim is to help people bridge this point. quot Officials for New York-based Pfizer said they dont know how much the program will cost and havent put a cap on spending for it. Applicants will have to sign a statement that they are suffering financial hardship and provide a quotpink slipquot or similar employer notice. Applications will be accepted through Dec. 31, with medication provided for up to 12 months after approval or until the person bes insured again. Starting Thursday, patients can call a toll-free number, 866-706-2400, to sign up, and those whose gs are not included in the program will be referred to otherpany aid programs. Starting July 1, patients can also apply through the Web site, PfizerHelpfulAnswers, which has information about the other Pfizer aid programs.

Pfizer and the rest of the g industry is trying to have a voice in the debate over how to overhaul the U. S. health care system, partly by joining in a pledge this week to help hold down inflation of health costs. quotTheres a long-term benefit there, beyond the goodwill and the publicity, quot said David Heupel, health care portfolio manager at Thrivent Large Cap Growth Fund. quotPfizer is trying to maintain their (market) share, if not grow their sharequot by keeping people from switching to generic versions of its gs to save money. quotIf youre already taking medication thats working, typically doctors dont push to change it, quot Heupel said. Pfizers programes at a time when many gmakers, including Pfizer, have been raising prices on their gs, partly to offset declines in revenue as the global recession reduces the number of prescriptions people can afford to fill.

The idea for the program came just five weeks ago, at a leadership training meeting, as the workers discussed how many patients are sggling, Puente said. quotIt was my idea, quot he said. quotI floated it, and the reception it got was so dramatic that it very quickly became our idea. quot Colleagues suggested employees could donate to a fund to help support the effort, Puente said. He said some employees had tears in their eyes when discussing how they could help people who had lost jobs. He said he urged top management to approve the program, presenting a recent Associated Press article about how newly uninsured diabetics are suffering seriousplications because they can no longer afford the medicines and testing supplies. Approval came quickly. The 70-plus gs covered include several diabetes gs and some of Pfizers top money makers, from cholesterol fighter Lipitor and painkiller Celebrex to fibromyalgia treatment Lyrica and Viagra for impotence. The list includes gs from several other popular classes, including antibiotics, antidepressants, antifungal treatments, several heart gs, contraceptives and smoking cessation products.

Cheaper generic versions are available for quite a few of the gs. Pfizer said that from 2004 through 2008, its patient assistance programs helped 5.1 million people get 51 million Pfizer prescriptions for free or at reduced cost, with a total value of 4.8 billion.

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