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Related Experiment Videos

Medical therapy cost considerations for glaucoma.

Richard G Fiscella1, Amy Green, Daniel H Patuszynski

  • 1Department of Pharmacy Practice, University of Illinois at Chicago, Illinois 60612, USA. Fisc@UIC.EDU

American Journal of Ophthalmology
|July 2, 2003
PubMed
Summary

Generic timolol eye drops offer the most cost-effective glaucoma treatment, with daily costs ranging from $0.38 to $0.46. Newer glaucoma medications are similarly priced to older ones, with some older brands seeing significant price increases.

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Area of Science:

  • Ophthalmology
  • Pharmacoeconomics

Background:

  • Glaucoma treatment involves daily medication to manage intraocular pressure.
  • Understanding the cost-effectiveness of various glaucoma therapies is crucial for patient adherence and healthcare management.

Purpose of the Study:

  • To calculate the daily patient cost of medical glaucoma therapy.
  • To review cost trends of glaucoma medications over time.

Main Methods:

  • Prospective study comparing actual medication volumes and manufacturer-recommended dosages.
  • Calculated daily costs based on Average Wholesale Price (AWP) in the United States.
  • Analyzed cost changes from 1999 to the present.

Main Results:

  • Generic timolol products and specific branded beta-blockers (Betimol, Optipranolol, Timoptic) ranged from $0.38-$0.46 per day.

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  • Other beta-blocker products were significantly more expensive, ranging from $0.88-$1.11 per day.
  • Combination drops like Cosopt ($1.04/day) were less expensive than using separate beta-blocker and carbonic anhydrase inhibitor drops.

    • Conclusions:

    • Generic timolol and certain branded beta-blockers represent the most affordable daily glaucoma treatment options.
    • Some older, brand-only glaucoma medications have experienced substantial price increases (32-53%) since 1999.
    • Newer glaucoma medications are often comparably priced to traditional therapies, with cost-effectiveness influenced by formulation and branding.