Modest, at best: The effect of getting rid of copays for antiplatelet drugs

Managed Care (Langhorne, Pa.)
|June 13, 2019
PubMed

Insights

Eliminating copays improved adherence to antiplatelet therapy. However, this did not lead to a reduction in major cardiovascular events for patients adhering to the medication.

Area of Science:

  • Cardiovascular Medicine
  • Health Economics
  • Pharmacoeconomics

Background:

  • Adherence to antiplatelet therapy is crucial for preventing cardiovascular events.
  • Medication copays can be a significant barrier to patient adherence.

Purpose of the Study:

  • To determine if eliminating copays enhances adherence to antiplatelet therapy.
  • To assess the impact of improved adherence on major cardiovascular events.

Main Methods:

  • A study design was implemented to compare adherence rates before and after copay elimination.
  • Patient outcomes, specifically major cardiovascular events, were monitored.

Main Results:

  • Eliminating copays was shown to significantly improve adherence to antiplatelet therapy.
  • Despite increased adherence, no statistically significant reduction in major cardiovascular events was observed.

Conclusions:

  • While cost reduction strategies like copay elimination can boost medication adherence, they may not directly translate to improved clinical cardiovascular outcomes.
  • Further research is needed to understand the complex interplay between cost, adherence, and clinical event reduction in antiplatelet therapy.

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