Insulin prices and pharmacy benefit manager rebates: pin the tail on the patient

first_img Comparing the Covid-19 vaccines developed by Pfizer, Moderna, and Johnson & Johnson By Duane Schulthess March 19, 2020 Reprints First OpinionInsulin prices and pharmacy benefit manager rebates: pin the tail on the patient Tags drug pricingpharmaceuticals Perhaps the clue is in the sales of Lilly’s Humulin. That medication had only $172 million in Medicare Part D sales, yet booked $885 million in total U.S. sales. It is interesting that the drug with the lowest Medicare Part D sales had more than five times the sales volume outside of Medicare Part D. In contrast, Sanofi, with the biggest spread between what it books as revenue in its annual report and what it credits in Medicare sales seems to get the largest Medicare Part D sales volume.The vanishing sales could represent the influence of pharmacy benefit managers, companies that act as brokers between insurance companies and drug manufacturers. The idea is that they work to bring discounts to insurers that should be reflected in lower premiums. This is generally done by driving the use of generic drugs, which lowers the overall cost of treatment. In the case of expensive, branded medicines, pharmacy benefit managers are supposed to drive a hard bargain with drug companies and then pass any savings onto the insurer or plan sponsor — though there is no guarantee or regulation requiring them to do that.The deductibles for drugs under Medicare part D are calculated based on the list prices paid at the counter by the people who take them. Given the current lack of transparency related to who gets to keep the discounts negotiated by pharmacy benefit managers, they may have an incentive to put costlier, branded drugs into their plans and pocket the difference between the negotiated rebate and the net price to the consumer. [email protected] Using the raw data extracted from the 2017 Medicare Part D Spending Dashboard, we saw that Sanofi’s insulin drug, Lantus, had $4.2 billion in Medicare Part D sales. But when we looked at Sanofi’s audited corporate report from the same year, we saw that U.S. sales for Lantus were listed at $2.8 billion, a full $1.37 billion less in revenue. Mind you, the sales listed in the audited corporate report were for all U.S. sales, not just for Medicare Part D.advertisement Over the past 15 years, insulin prices have more than doubled. Pharmaceutical companies have been on the receiving end of most of the blame, and the chorus of angry voices has grown louder given Speaker Nancy Pelosi’s H.R. 3 bill, which shows that Americans pay three times more for the same medicines than Europeans do.My firm, Vital Transformation, has been at the center of both the H.R. 3 debate in Congress and the International Pricing Initiative of the Department of Health and Human Services. For the last several months, we’ve been looking closely at the costs charged under Medicare Parts B and D. The strangest data we saw was related to insulin spending by Medicare Part D. Novo NordiskLevemir$1.404 billion$1.429 billion+$25 million According to the Commonwealth Fund, pharmacy benefit managers “report that in many of their contracts, 90% of rebates are passed on to health plans and payers. However, small payers and employers have reported that they did not receive this share (i.e., 90%) of savings.” There is growing concern that these companies may be hanging onto rebates and offering coverage on their formularies only to those companies providing the biggest, fattest margins.While our data aren’t proof that pharmacy benefit managers are gobbling up some, if not all, of this insulin margin, it is possible, even probable. It is also possible to imagine a scenario in which PBMs play the drug companies off one another, offering the largest insulin sales volume to those providing the biggest margins in the PBMs’ direction. It’s likely this practice would continue unabated and isn’t restricted to the year 2017.So where is the $1.3 billion in missing sales for Sanofi’s Lantus and $606 million in missing sales for Novo Nordisk’s Novolog? It might be sitting in PBM bank accounts. One thing for certain is that it isn’t coming back to consumers as discounts and it isn’t going to the pharmaceutical companies that make the products.In January of 2019, the Trump administration proposed the Pharmacy Benefit Manager Rebate Rule to curb rising drug prices broadly. This rule would have specifically ended this practice, as it required pharmacy benefit managers to transparently quote all list price rebates. Sadly, the administration killed the plan a few months later. That was a shame, as it seems likely that there is something afoot beyond normal market forces regarding the prices and volumes of insulin products in Medicare Part D.People with diabetes are the biggest losers by paying higher prices due to lack of transparency.Duane Schulthess is the managing director of Vital Transformation, a consultancy that helps define the impact of new technologies and regulation in the health care sector, and a senior associate of the United Kingdom’s Royal Society of Medicine. This research described here was funded by the U.S. Chamber of Commerce, the California Life Sciences Association, and PhRMA. Related: We found the same situation with Sanofi’s insulin drug, Toujeo. It had “missing” revenue of $38 million. Novo Nordisk’s Novolog had $606 million in unallocated sales. All told, the unallocated insulin sales that were reported in Medicare Part D but not booked on the corporate balance sheets of Sanofi and Novo Nordisk total a bit over $2 billion.How could $2 billion in sales simply vanish into thin air?advertisement Trending Now:center_img SanofiLantus$4.184 billion$2.813 billion-$1.371 billion CompanyInsulin DrugMedicare Part D Spending 2017Total Reported U.S. Sales 2017Difference Eli LillyHumulin$172 million$884 million+$712 million Novo NordiskNovolog$2.235 billion$1.629 billion-$606 million Duane Schulthess Will Trump’s new plan to cap insulin costs in Medicare actually save seniors much money? It’s complicated Eli LillyHumalog$1.535 billion$1.717 billion+$182 million SanofiToujeo$541 million$503 million-$38 million Adobe @VitalTransform About the Author Reprintslast_img read more

Some Trump staffers face a slightly different revolving door

first_imgPolitics Nicholas Florko By Nicholas Florko Jan. 18, 2021 Reprints SAMUEL CORUM/AFP via Getty Images Log In | Learn More Some Trump staffers face a slightly different revolving door STAT+ is STAT’s premium subscription service for in-depth biotech, pharma, policy, and life science coverage and analysis. Our award-winning team covers news on Wall Street, policy developments in Washington, early science breakthroughs and clinical trial results, and health care disruption in Silicon Valley and beyond. Daily reporting and analysis The most comprehensive industry coverage from a powerhouse team of reporters Subscriber-only newsletters Daily newsletters to brief you on the most important industry news of the day STAT+ Conversations Weekly opportunities to engage with our reporters and leading industry experts in live video conversations Exclusive industry events Premium access to subscriber-only networking events around the country The best reporters in the industry The most trusted and well-connected newsroom in the health care industry And much more Exclusive interviews with industry leaders, profiles, and premium tools, like our CRISPR Trackr. What’s included? About the Author Reprintscenter_img GET STARTED Unlock this article — plus daily intelligence on Capitol Hill and the life sciences industry — by subscribing to STAT+. First 30 days free. GET STARTED @NicholasFlorko [email protected] Washington Correspondent Nicholas Florko reports on the the intersection of politics and health policy. He is the author the newsletter “D.C. Diagnosis.” A version of this story first appeared in D.C. Diagnosis, STAT’s weekly newsletter about the intersection of health and politics. Sign up here to receive it in your inbox. WASHINGTON — It’s that magical time, when government staffers trade in their badges and their lowly government salaries for jobs at some of Washington’s most powerful (and highest paying) law firms and lobbying shops. What is it? Tags advocacyCongressWhite Houselast_img read more

JOB VACANCY: Cahill Electrical seeking 3rd/4th year apprentices

first_img Facebook Twitter WhatsApp Home Jobs JOB VACANCY: Cahill Electrical seeking 3rd/4th year apprentices Jobs Electric Picnic Electric Picnic Twitter JOB VACANCY: Cahill Electrical seeking 3rd/4th year apprentices By LaoisToday Reporter – 2nd December 2019 Facebook WhatsApp RELATED ARTICLESMORE FROM AUTHOR Pinterest TAGSCahill Electrical Installations Pinterest Laois Councillor ‘amazed’ at Electric Picnic decision to apply for later date for 2021 festival Bizarre situation as Ben Brennan breaks up Fianna Fáil-Fine Gael arrangement to take Graiguecullen-Portarlington vice-chair role Previous articleCian leads the way as first gold for Kelly clan in Laois men’s cross countryNext articleDeaths in Laois – Monday, December 2, 2019 LaoisToday Reporter Well-known Laois company Cahill Electrical Installations have vacancies for the following positions.3rd/4th Year Electrical ApprenticesMust have domestic experienceTo applyContact John on 086 8740511 or email [email protected] ALSO – Check out the dedicated jobs section on LaoisToday News Electric Picnic organisers release statement following confirmation of new festival datelast_img read more

Local bakery pulls out all the stops once more as magical Christmas window display proves a huge attraction

first_img Previous articleWatch: Laois TV presenter clashes with Dustin the Turkey over wearing ‘the same kacks for ten weeks’Next articleBonus outdoor markets and last call for outdoor crib as Christmas approaches Steven Millerhttp://www.laoistoday.ieSteven Miller is owner and managing editor of From Laois, Steven studied Journalism in DCU and has 14 years experience in the media, almost 10 of those in an editorial role. Husband of Emily, father of William and Lillian, he’s happiest when he’s telling stories or kicking a point. SEE ALSO – Talented Laois sisters star on TG4 show but miss out on final place Now that you’re allowed to cross the county boundaries again, Laois readers would be well advised to take a trip to Athy this Christmas to check out the truly magical window display in Bradbury’s Cafe and Bakery.The handy work of John Bradbury, this year’s effort is an elaborate train set and is sure to enthrall young and old alike.John, who is the third generation of his family to work in the iconic business, has been doing these window displays for the best part of the last 15 years and it has proven to be a huge attraction over the years.To add to the local authentic feel of it, many of the little buildings carry the name of businesses in Athy.He started piecing it all together way back at the end of July and says it has over 300 individual power points hidden in it to keep it all going.In total he says it would cost almost 15,000 to put something like this together – not including his labour. Needless to say he has had requests to do other window displays similar but simply doesn’t have the time.He has a room upstairs in the cafe that he sets it all out in and then moves it section by section into the large window. The margin for error is tiny.“I’m very creative and as a kid I would have had trains,” he says.“Some of the trains used in this display are over 35 years old. Every year we try and do a different theme – we’ve had a circus, a carnival, ski slopes and people like the really old village look.“It’s a tradition now and I really enjoy doing it. It’s a hobby and I put it together over a couple of months.“It’s a nice distraction in the winter evenings. I’m always on the look out for new bits and pieces that I can add to it over the years.”With so many moving parts, John jokes that he nearly needs an Iarnrod Eireann maintenance team to keep it going as every evening there’s something that requires attention.“We didn’t do it one year and there was uproar,” he laughs.“But it’s a bit of fun, it looks good, it’s an attraction and it gets customers in.”Bradbury’s was set up by John’s grandparents Thomas and Peg (nee Marsh, a Stradbally woman) in 1938 and later run by his father Johnny and uncle Jimmy.Now the business has various strands – including a restaurant, bakery, coffee shop and school lunch business – and employs over 50 people. Along with John, his brother Tom and sister Jill are all involved.Opened in 1938, Bradbury’s has been an institution in Athy for over 80 years with their cream buns, eclairs and various delights making it a pleasure to visit.And with their stunning window display – that can be viewed from both the street and inside – this time of year ensures it’s better than ever. Home News Community Local bakery pulls out all the stops once more as magical Christmas… NewsCommunity Pinterest Electric Picnic organisers release statement following confirmation of new festival date Laois Councillor ‘amazed’ at Electric Picnic decision to apply for later date for 2021 festival Electric Picnic Electric Picnic Pinterest Facebook Electric Picnic center_img TAGSAthyBradbury’sJohn Bradbury By Steven Miller – 22nd December 2020 RELATED ARTICLESMORE FROM AUTHOR Twitter Facebook Local bakery pulls out all the stops once more as magical Christmas window display proves a huge attraction Twitter WhatsApp WhatsApp Electric Picnic apply to Laois County Council for new date for this year’s festivallast_img read more

‘Consideration Rations’ See Packed PDCs

first_img News ‘Consideration Rations’ See Packed PDCs US dollar and Chinese reminbi plummet against North Korean won once again NewsEconomy By Choi Song Min – 2014.12.22 8:29pm News There are signs that North Korea is running into serious difficulties with its corn harvest AvatarChoi Song Min center_img News Facebook Twitter Upon the 3rd year anniversary of Kim Jong Il’s death,Pyongyang passed out food rations to residents across the nation, Daily NK has learned. “North Korea held off passing food rations until right around the 3rd year anniversary of Kim Jong Il’s death,” a source inNorth Hamkyung Province reported to the Daily NK on December 19th, adding thatrations of 3 parts rice and 7 parts corn were being distributed through thePublic Distribution Centers [PDC] throughout the nation on December 15th.He noted that these particular food rations were sent by thegovernment in “consideration of the grieving residents,” and as a one-off event, “they will not continue.” Thesewere the first food provisions provided by the state since the potato rationdistribution back in October. The allocated supply reportedly came to under half the normal amount,unsurprisingly given the broken nature of the Public Distribution System,  but “even thoughthe ration was half the amount of the stipulated amount to be distributed eachmonth, the Public Distribution Center was teeming with people the entire day,” the source pointed out. Most residents breathed a sigh of relief to see the distributions deploybecause rice prices rose back up to 5300 KPW [0.66 USD], he added.Chronic droughts wreaked havoc on North Korea this year,eroding harvest production in key sources of sustenance for residents,particularly rice and corn. Against this backdrop, grain production in South Pyongan Province andHwanghae Province– areas collectively known as the “breadbasket” of NorthKorea–amassed to drastically reduced output compared to a normal year. These factors saw the recent price of rice in the markets creep from 4800 KPW [0.60 USD] up to 5300 KPW [0.66 USD]. “If they blocked the market and regulated trade like lastyear’s mourning period, there would be no way to stop rice prices fromspiking,” the source explained. However, because no protracted mourning periodwas decreed this year, and rations were distributed as a sole occurrence near the thirdanniversary of Kim Jong Il’s death, “the price of rice in the market will bestable for awhile,” he asserted.“The people call this ration ‘the holiday supply’ eventhough they know that it’s the 3rd year anniversary ration,” he went on to add. “There needs to be more days [death anniversaries] like this in order for us tobe receive more ‘consideration.’”Meanwhile, during the 10 year anniversary of Kim Il Sung’sdeath in July 2004, North Korea distributed 10 days worth of food rations whilestringently regulating the rice trade, resulting in a spike in the price of rice soldby traders from their homes and complaints by residents unable to afford to pay the difference. North Korea Market Price Update: June 8, 2021 (Rice and USD Exchange Rate Only) SHARE RELATED ARTICLESMORE FROM AUTHORlast_img read more

Educator Says Children Learn Best When Their Interest is Aroused

first_imgEducator Says Children Learn Best When Their Interest is Aroused EducationSeptember 14, 2009 Advertisements RelatedEducator Says Children Learn Best When Their Interest is Aroused FacebookTwitterWhatsAppEmail Senior Territorial Education Officer at the Ministry of Education, Mrs. Yvonne McLeod, has said that children learn best when they are interested in a subject, or when they are stimulated to achieve an objective.“Learning does not take place, until it can be demonstrated through application modes. Children learn best when their interest is aroused, or when they are stimulated towards achieving something that they are made aware of,” Mrs. McLeod said.She was delivering the keynote address at the recent dedication of an Enrichment Centre at the Victoria Town Primary School, in Manchester, donated by telecommunications provider, Digicel.Mrs. McLeod argued that when students are taught in ways that excite their wits, they assimilate and internalise the material in a way that helps them to meaningfully apply themselves in the teaching/learning process.She told the audience, comprising teachers, students and parents, that the teaching of children could not be done by the schools alone. “It requires the input of parents and other stakeholders. Students have to be guided in how they obtain information. They have to be taught how to learn,” she emphasised.Speaking on the theme: ‘Pedagogy Through Education’, Mrs. McLeod pointed out that tremendous strides could be made of computer aided teaching, as students “learn best through colourful and exciting curiosity, and they are stimulated through play and active interactions.”“Students learn best when they can explore and experiment, when they are monitored, guided and motivated. And computer technology, through its various devices, facilitates all of these,” she added.Mrs. McLeod commended the Principal of Victoria Town Primary, Mr. Paul Grant, for his drive in sourcing the Enrichment Centre from the Digicel Foundation. “If we set a goal or target, we should strategise to get there. No longer can we talk alone, we have to walk, so that we can experience our goals and objectives,” she stressed.center_img RelatedEducator Says Children Learn Best When Their Interest is Aroused RelatedEducator Says Children Learn Best When Their Interest is Arousedlast_img read more

Feel Good Fridays: Guided meditation

first_imgShare Share via TwitterShare via FacebookShare via LinkedInShare via E-mail Published: Nov. 2, 2016 Need a stress break? Want to unwind before the weekend? Join in on a powerful, guided meditation practice to undo stress, soothe the nervous system and feel good.Facilitated by Counseling and Psychiatric Services’ Matthew Tomatz, Feel Good Friday focuses on a practice called Integrative Restoration, or iRest, a modernized form of an ancient healing and relaxation practice known as Yoga Nidra.Feel Good Friday is held weekly from 12:15 to 12:45 p.m. in the CU Art Museum and is free and open to students, faculty and staff. You are encouraged to bring materials for your personal comfort and to aid in your meditation (e.g. yoga mat, small cushion or pillow). Please arrive on time so the meditation is not disturbed. There is no late admittance.For more information, visit the Counseling and Psychiatric Services site.center_img Categories:Mind & BodyCampus Communitylast_img read more

Feed the Stampede program available to all CU students

first_imgSister CarmenThere’s even a Food Finder tool to help locate resources in Boulder and Broomfield Counties. For a full list of resources be sure to check out the Volunteer Resource Center website. To learn more, visit the Volunteer Resource Center website.Categories:Deadlines & AnnouncementsCampus Community Share Share via TwitterShare via FacebookShare via LinkedInShare via E-mail Published: Sept. 18, 2020 The Feed the Stampede Food Assistance program is meant to help undergraduate and graduate students experiencing food insecurity and to provide services, referrals and education so students can thrive academically. Buff Pantry Are you short on food? CU Boulder students who are in need of food are invited to visit the Buff Pantry to receive food on a weekly basis at no cost. With this new resource, students can receive a bag of food from the Buff Pantry once a week. Food selection will vary based on availability.The Buff Pantry is located on the first floor of the UMC 139, next to Jamba Juice, during September it is open Tuesday–Thursday, 11 a.m. to 7 p.m. by appointment.Before you visit the Buff Pantry for the first time, you will need to fill out an intake form  on the Volunteer Resource Center website.Community Resources Beyond the Buff Pantry at CU Boulder, there are resources available in the local community for those that are experiencing food insecurity.Community Food Sharecenter_img Harvest of Hope last_img read more

Cardiac MRI contrast agents carry low risk of adverse events: Study

first_img Indraprastha Apollo Hospitals releases first “Comprehensive Textbook of COVID-19” cardiac MRIgadolinium-based contrast agentsJohannes Uhlig Cardiac MRI contrast agents carry low risk of adverse events: Study Menopause to become the next game-changer in global femtech solutions industry by 2025 Share Of the study group of 154,779 patients, from the multinational, multicenter European Society of Cardiovascular Radiology MRCT Registry, who underwent cardiac MRI,  there were 556 acute adverse effects in 145,855 contrast-enhanced MRIs, or 0.38 per cent, with only 47 being classified as severeContrast agents used to improve views of the heart on MRI carry a very low risk of allergic reactions, vomiting and other acute adverse events, according to a large study from Europe published in Radiology: Cardiothoracic Imaging. The findings come three years after the European Union enacted new regulations on the contrast agents.Cardiac MRI is a well-established tool for heart imaging. The majority of cardiac MRI exams use intravenous gadolinium-based contrast agents (GBCAs) to improve visualisation of the heart muscle and blood flow. Contrast-enhanced MRI is often used to assess scars to the heart tissue and detect cardiac ischemia, a condition of reduced blood flow to the heart resulting from blockage of the coronary arteries. Contrast-enhanced cardiac MRI is also frequently used to evaluate diseases like cardiomyopathy and myocarditis.GBCAs rely on an ion of the heavy metal gadolinium to work. Since the ion is toxic to humans, it is bound in a molecule called a ligand to make it safe. GBCAs are classified as either linear or macrocyclic based on the type of ligand used. Linear GBCAs have elongated ligands while macrocyclic GBCAs have a cage-shaped ligand that traps the gadolinium ion inside.Studies have shown that trace amounts of the toxic gadolinium ions may remain in the body following repeated GBCA administration. Linear GBCAs are thought to have a higher likelihood of deposit compared to macrocyclic GBCAs, as the macrocyclic GBCAs offer better containment of the gadolinium ion and are considered more stable.“Studies have demonstrated that the likelihood and extent of cerebral gadolinium depositions are increased after administration of linear GBCAs compared to macrocyclic GBCAs, although the clinical relevance of these depositions still needs to be determined,” said the study’s lead author, Johannes Uhlig, M.D., M.P.H., from University Medical Center in Goettingen, Germany.As a preventive measure, in late 2017 the European Medicines Agency (EMA) suspended the marketing authorization of linear GBCA types except in liver imaging.For the new study, Dr. Uhlig and colleagues tapped into the multinational, multicenter European Society of Cardiovascular Radiology MRCT Registry to assess the impact of the EMA’s regulatory decision. The study group included 154,779 patients who underwent cardiac MRI, with almost 95 per cent receiving GBCA. While linear GBCAs were used in 15.2 per cent of examinations before and in 2017, their use decreased to less than 1 per cent in 2018 and 2019.They also tracked GBCA-associated acute adverse events and classified them as mild, moderate or severe. Mild events included allergic reactions such as hives and wheezing, while reactions like chest pain and arrythmia were classified as moderate or severe. Overall, there were 556 acute adverse effects in 145,855 contrast-enhanced MRIs, or 0.38 per cent, with only 47 being classified as severe.“Using a large-scale patient cohort from several European countries, our study demonstrates that the administration of GBCA for cardiac MRI is safe for the overwhelming majority of patients,” Dr. Uhlig said. “In particular, macrocyclic GBCAs exhibit a favorable acute safety profile, and should be considered for cardiac MRI examinations evaluating myocardial scarring, ischemia, cardiomyopathy and myocarditis.”Adverse events occurred even without GBCA administration. Out of the 8,924 cases in the study group that did not involve GBCAs, 231 examination-related events were reported, or 2.59 per cent, the majority being anxiety and shortness of breath.The results underscore the importance of pre-procedural assessment to look for contraindications to MRI scanning and GBCA administration, as well as the likelihood of GBCA-associated adverse events, Dr. Uhlig said.“Potentially vulnerable populations include those with orthostatic shortness of breath, prior adverse GBCA reactions and terminal renal insufficiency,” he said.Policies on linear GBCAs vary internationally. No regulatory restrictions have been issued in the US, although the US Food and Drug Administration recommends that physicians consider gadolinium retention characteristics when choosing GBCAs. Because of their unique properties, linear GBCAs are still considered vital for liver imaging.“Although there are efforts to advance non-contrast hepatic imaging, linear GBCAs will probably be indispensable for specific patient populations in the near future,” Dr. Uhlig said.The study authors credited the MRCT Registry for helping make their research possible.“These analyses highlight the importance of establishing and maintaining large-scale prospective data registries, specifically in the field of radiology,” said the study’s senior author Matthias Gutberlet, M.D., one of the MRCT Registry co-founders. Phoenix Business Consulting invests in telehealth platform Healpha Cardiac Care News Patient Safety Radiology Add Comment WHO tri-regional policy dialogue seeks solutions to challenges facing international mobility of health professionals Adoption of AI/ML can disrupt healthcare services The missing informal workers in India’s vaccine story Read Article MaxiVision Eye Hospitals launches “Mucormycosis Early Detection Centre” By EH News Bureau on October 28, 2020 Comments (0) Related Postslast_img read more

CMO warns Parents to get Children Immunised

first_imgFacebookTwitterWhatsAppEmail With a little more than two weeks to go before the start of the new academic year, Chief Medical Officer in the Ministry of Health, Sheila Campbell Forrester, is reminding parents to ensure that their children are fully immunised.Speaking on Wednesday (August 18) at the official launch of the Child Health and Development Passport (CHDP), Dr. Forrester said parents must bear in mind the fact that their children cannot be allowed into school if they have not received the appropriate vaccines.“We are in the midst of the back to school period, so I implore you if you have not yet done so, to go to your health centre or health care provider and get your child the vaccines that he or she needs,” she remarked.Chairman of the Early Childhood Commission (ECC), Dr. Maureen Samms Vaughan (right) outlining the contents of the new Child Health and Development Passport (CHDP) to Minister of Health, the Hon Rudyard Spencer, during the launch of the CHDP at the St. Catherine Health Department on Wednesday (August 18).She said that Jamaica has been able to maintain relatively high vaccination coverage for many years since 1985, despite experiencing some slippage over the past ten years, with coverage averaging 83 per cent up to 2008.“The Measles-Mumps-Rubella (MMR) has languished in the high 70s. I am however pleased to inform that we have made significant improvement, as last year we achieved just over 90 per cent coverage in MMR and BCG (Bacillus Calmette-Gu RelatedCMO warns Parents to get Children Immunised Advertisements RelatedCMO warns Parents to get Children Immunisedcenter_img CMO warns Parents to get Children Immunised Health & WellnessAugust 19, 2010 RelatedCMO warns Parents to get Children Immunisedlast_img read more