Island GPs are being asked to reduce spending on key drug areas as the Department of Health looks to make further cutbacks.
Dr Alex Allinson, chairman of the IoM Medical Society's GP sub committee, says discussions about cost effective treatment and the use of generic drugs to reduce spending on medication have been going on long before the current economic crisis.
But he says doctors are now getting more and more specific drug budget targets from the department.
Clip 1
Meningitis B vaccination scheme to be rolled out on-Island
Programme is for eligible Year 13 students and under-25s
Balthane Roundabout plans on hold until 2027/28 as costs rise
Price tag has jumped up by £600,000 since scheme was first approved
Port St Mary lifeboat launched to rescue stricken fishing vessel
RNLI crew tows vessel back into harbour
Enquiries ongoing after 'shotgun-like sound' heard near Police Headquarters
Police say there's no indication of any wider risk to the public
MHK 'frustrated' at pace of progress over cigarettes and vaping products
Committee calling for generational ban