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    How NADAC, WAC, and ASP Shape Drug Costs

    How NADAC, WAC, and ASP Shape Drug Costs

    April 20, 2026
    The Hidden Costs Employers Don’t See in Traditional Health Plans

    The Hidden Costs Employers Don’t See in Traditional Health Plans

    March 22, 2026
    The Impact of COVID-19 on Patient Trust

    The Impact of COVID-19 on Patient Trust

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    Understanding of Clinical Evidence in Peptide and Hormone Use

    Understanding of Clinical Evidence in Peptide and Hormone Use

    March 30, 2026

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    Can you tell when your provider does not trust you?

    Can you tell when your provider does not trust you?

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    Which health policy issues matter the most to Republican voters in the primaries?

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Home Perspectives

Self-Medicating a Chronic Illness

More common than you think

Twinkle VanFleet by Twinkle VanFleet
March 22, 2024
in Perspectives
0
Self-Medicating a Chronic Illness

Getty Images

In today’s world, the issue of pain management has become a complex and challenging one. With doctors increasingly hesitant to prescribe pain medication, many individuals find themselves in a difficult position, forced to seek relief through other means. This reluctance on the part of medical professionals has led to a rise in self-medication and even the use of illicit substances to manage chronic pain.

The consequences of this phenomenon are dire. Individuals who resort to self-medication often find themselves labeled as having substance use disorders, which in turn hinders their access to proper healthcare and the acknowledgment of their pain. This has been exacerbated by the implementation of CDC Opioid Recommendations, which have sometimes been used against patients as strict guidelines rather than flexible tools for managing pain effectively.

Furthermore, the fear instilled in physicians by government agencies like the Drug Enforcement Agency has led to a situation where medical professionals are forced to prioritize the protection of their licenses over the well-being of their patients. This conflict between upholding the oath to “do no harm” and complying with regulatory pressures is a central issue in the current healthcare landscape.

It is clear that while addiction to opioids is a legitimate concern, the vast majority of individuals in pain are not abusing their medications. For many, these medications are essential for achieving a semblance of quality of life and managing their conditions effectively. Yet, the stigma and fear surrounding opioid prescriptions have left many patients without access to the care they need.

In this challenging environment, individuals like myself are left to find alternative solutions for pain management. Whether it is turning to substances like alcohol or exploring alternative remedies like Kratom, the lack of access to proper medical care leaves many feeling isolated and unsupported.

So, what can be done in the face of these obstacles? It is crucial that we advocate for a more compassionate and nuanced approach to pain management. This includes supporting healthcare providers in their efforts to provide effective and personalized care to patients without undue regulatory interference. Additionally, we must work towards reducing the stigma surrounding chronic pain and substance use disorders, ensuring that individuals in need are not marginalized or dismissed.

While we wait for systemic changes to address these issues, it is essential that individuals continue to share their stories and advocate for better pain management practices. By raising awareness and demanding action, we can work towards a future where all individuals have access to the care and support they need to live healthy and fulfilling lives.

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Twinkle VanFleet

Twinkle VanFleet

Twinkle VanFleet is the Vice President of Operations at Stronger Than Pain and a former Medtronic Ambassador at Medtronic, Inc. She lives in Elk Grove, California.

Comments 0

  1. Venus Usher says:
    2 years ago

    Well said!! So proud of you! I’m so glad everyone is starting to speak up and help others that are suffering. Thank you!

    Reply
  2. Susan Williams says:
    2 years ago

    Being one of the millions of people that suffer from chronic, intractable pain, I wholeheartedly agree!
    Luckily, I live in a state that has legalized recreational marijuana, which I use to get what little sleep I do.
    After over thirty five years in pain, and ten years without adequate medication, I’m just about at the end of my rope.

    Reply
  3. Ashgirl says:
    2 years ago

    Excellent job! Every moment of every day is a struggle…”the struggle is real”, as they say.

    Reply

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Videos

summary

An in-depth exploration of drug pricing, including key databases like NADAC, WAC, and ASP, and how they influence the pharmaceutical supply chain, policy, and patient advocacy. The episode also introduces MedPricer's innovative pricing intelligence platform, offering valuable insights for healthcare professionals, policymakers, and patients.

Chapters

00:00 Understanding Drug Pricing Dynamics
03:52 Exploring the Drug Pricing Database
10:07 Patient Advocacy and Drug Pricing
13:56 Market Intelligence in Drug Pricing
How NADAC, WAC, and ASP Shape Drug CostsDaily Remedy
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Policy Shift in Peptide Regulation

Clinical Reads

FDA Evaluation of Certain Bulk Drug Substances in Compounding: Clinical Interpretation

FDA Evaluation of Certain Bulk Drug Substances in Compounding: Clinical Interpretation

by Daily Remedy
April 19, 2026
0

Clinicians increasingly encounter patients using or requesting peptide-based therapies sourced through compounding pharmacies. The U.S. Food and Drug Administration has identified a subset of bulk drug substances, including certain peptides, that may present significant safety risks when used in compounded formulations. The clinical question is whether these regulatory signals reflect meaningful patient-level risk and how they should influence prescribing behavior. This matters because compounded peptides often sit outside traditional approval pathways, creating uncertainty around quality, dosing consistency, and safety. Understanding...

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