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Implementation of a $4 generic drug program in a 340B pharmacy
David R Bright1, Alex J Adams, Folasade O Akala
1Department of Pharmacy Practice, Ohio Northern University, Ada, USA.
Summary
A $4 generic drug program at a 340B pharmacy improved medication access for low-income patients. This initiative boosted prescription volume and net revenue, demonstrating financial viability.
Area of Science:
- Health Services Research
- Pharmacy Practice
- Health Economics
Background:
- Federally Qualified Health Centers (FQHCs) serve vulnerable populations with limited prescription coverage.
- Analyzing financial data is crucial for implementing cost-effective patient programs.
- The 340B drug pricing program offers opportunities to enhance patient care and financial sustainability.
Purpose of the Study:
- To describe the implementation of a $4 generic drug program within a 340B pharmacy setting.
- To assess the financial viability and impact of offering low-cost generic medications.
- To evaluate the program's effect on patient access and pharmacy operations.
Main Methods:
- Financial transaction data from the Cordelia Martin Health Center (CMHC) pharmacy were analyzed.
- A $4 generic drug list was compiled by cross-referencing the CMHC formulary with mass-merchant pharmacy lists.
- Prescription data were compared for the periods before and after program implementation.
Main Results:
- A total of 93 medications were included in the $4 generic drug program.
- Prescription volume increased significantly post-implementation: 7,134 prescriptions (Jan-Mar 2009) vs. 6,166 (Jan-Mar 2008).
- Daily prescription volume showed a consistent increase throughout the first three months of the program.
Conclusions:
- The $4 generic drug program enhanced patient access to essential medications.
- The program successfully increased pharmacy prescription volume and net revenue.
- Implementing such programs in 340B pharmacies is financially viable and beneficial for patient care.
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