This study examines how innovation in patient access to treatment without a prescription could address critical patient needs. Notable disparities in healthcare access and outcomes persist across both geographic areas and socio-economic groups in the US. Some gaps in healthcare service and outcomes may be bridged by extending access to more medicines without the need for a prescription. However, the range of candidate medicines available for switching to OTC status historically has been limited by the ability of patients to interpret product labeling and make appropriate self-selection decisions. Recent regulatory changes allowing companies to leverage new technologies and innovate new ways to aid the patient self-selection process may pave the way to better access to needed medications. While retail pharmacies bridge some of these gaps, non-traditional retail sources for medicines, such as dollar stores, may also play an important role because they are often located where healthcare access challenges are greatest. Broadening the range of treatments available via the OTC pathway is therefore likely to have a beneficial impact in areas otherwise experiencing health care access challenges, particularly if non-traditional outlets are included in the retail mix.
No Doctor, No Problem: The Benefits of Innovation Expanding OTC Drug Access
November 10, 2025
