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The relationship between pediatric combination vaccines and market effects
Banafsheh Behzad1, Sheldon H Jacobson, Janet A Jokela
1Banafsheh Behzad is with the Department of Industrial and Enterprise Systems Engineering, University of Illinois at Urbana-Champaign. Sheldon H. Jacobson is with the Department of Computer Science, University of Illinois at Urbana-Champaign. Janet A. Jokela is with College of Medicine, University of Illinois at Urbana-Champaign. Edward C. Sewell is with the Department of Mathematics and Statistics, Southern Illinois University, Edwardsville.
Abstract:
We explored market factors that affect pediatric combination vaccine uptake in the US public-sector pediatric vaccine market. We specifically examined how Pediarix and Pentacel earned a place in the 2009-2012 lowest overall cost formulary. Direct competition between Pediarix and Pentacel is driven by the indirect presence of the Merck Haemophilus influenzae type b vaccine and the Recommended Childhood Immunization Schedule requirement for a hepatitis B birth dose. The resulting analysis suggests that Pentacel would never have earned a place in the lowest overall cost formulary for 2009-2012 federal contract prices for any cost of an injection unless the Merck H influenzae type b advantage was ignored and the hepatitis B birth dose administration cost was recognized by health care providers in designing the lowest overall cost formularies.
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