2007年至2018年美国品牌药品清单价格,净价格和折扣价格的变化
Inmaculada Hernandez1,2, Alvaro San-Juan-Rodriguez1,2, Chester B Good2,3,4,5
1Department of Pharmacy and Therapeutics, University of Pittsburgh School of Pharmacy, Pittsburgh, Pennsylvania.
JAMA
|March 4, 2020
概括
制造商的折扣大大抵消了美国2007年至2018年的品牌药品价格上. 虽然清单价格升,但由于大幅度的折扣和折扣,净价格略有上.
科学领域:
- 健康经济学
- 制药价格的制定
- 药品市场分析
背景情况:
- 大多数药品定价研究都集中在清单价格上,忽视了大量制造商的折扣和折扣.
- 这些折扣在过去十年中大幅增加,影响了实际药品成本.
研究的目的:
- 分析美国品牌药品清单价格,净价格和折扣的变化.
- 量化折扣抵消目录价格上的程度.
主要方法:
- 美国销售的602种品牌药物的2007-2018年定价数据的回顾性分析.
- 净价格是根据公司报告的销售额和销售单位估计的.
- 分析包括医疗补助和其他付款人的价格和折扣趋势,按使用量加权并调整为通货膨胀.
主要成果:
- 在2007年至2018年期间,清单价格上了159% (每年9.1%),净价格上了60% (每年4.5%).
- 折扣大幅增加,抵消了目录价格上的62%.
- 治疗类别的变化很高,多发性硬化症治疗和降脂剂的价格上显著.
结论:
- 品牌药品的清单和净价格在2007年至2018年间大幅上.
- 制造商折扣在减轻清单价格上的影响方面发挥了关键作用,尽管在各类之间存在很大的差异.
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