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  • Title: A patchwork of funding sources for Norplant users in the U.S.
    Author: Antarsh L.
    Journal: AVSC News; 1992 Sep; 30(3):1-2. PubMed ID: 12285829.
    Abstract:
    Since the US Food and Drug Administration approved Norplant in December 1990, many family planning advocates are concerned about its high cost. The US manufacturer, Wyeth-Ayerst laboratories, charges $350/unit no matter if the unit goes to the public or private sector. Many medical, family planning, and public health organizations object to this action. So Wyeth-Ayerst has set up a foundation to distribute 10,000 units free of charge to physicians and nurses practitioners who will insert them in individual low income women. Yet this number is already lacking. So far overall demand for Norplant has been greater than expected. During the first 9 months, Wyeth-Ayerst had already distributed its projected 12-month supply to the private sector. In Colorado, the state preventive health block grant provides Norplant funds for the family planning program of the Department of Health. Individual clinics have been able to obtain units from the Norplant Foundation. The cost for women who can afford to pay full price is $400. 2 trained physicians provide free training sessions for all clinicians. A Norplant task force in Denver is examining ethical and legal issues to develop a policy statement. In Texas, low income women can receive implants because of funding from Medicaid or Title XX. Full costs are $450. Many teens ask for Norplant and, in Texas, they do not need parental consent. The family planning clinic at the Texas Southwestern Medical Center lacks trained physicians and nurse practitioners. Waiting lists for Norplant exist in California. The state office of family planning, Title X, and Medical pay for most Norplants in low income women. Full cost is $426. Teenagers tend not to ask for Norplant in California. As of July 1992, the Margaret Sanger Center in New York City has inserted 350 units. Full cost is $750. The high cost has not limited access overall.
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