通过医疗补助销售的仿制药的通货膨胀折扣在2017-20年期间节省了数十亿美元
Benjamin N Rome1, Aayan N Patel2, Aaron S Kesselheim3
1Benjamin N. Rome (brome@bwh.harvard.edu), Brigham and Women's Hospital and Harvard University, Boston, Massachusetts.
通用药物价格上部分被医疗补助计划的通胀折扣所抵消,但许多价格仍然高于通货膨胀. 这凸显了为保护患者而确保具有竞争力的仿制药市场的政策的必要性.
科学领域:
- 卫生经济学 卫生经济学
- 制药政策 制药政策
- 公共卫生 公共卫生
背景情况:
- 州医疗补助计划利用强制制制造商折扣来支付处方药,包括那些抵消价格上超出通胀的药物.
- 最初适用于品牌药物,通货膨胀折扣于2017年由国会扩大至包括仿制药.
研究的目的:
- 评估州医疗补助计划中扩大通胀折扣对仿制药价格的影响.
- 评估这些折扣在2017年至2020年期间抵消了仿制药价格上的程度.
主要方法:
- 对公共医疗补助医疗药物支出和使用数据的分析.
- 利用三种不同的药物价格指标来评估通胀趋势.
- 检查了2017年至2020年期间的仿制药折扣数据.
主要成果:
- 几乎一半的仿制药在2017-2020年期间受到通货膨胀折扣.
- 这些折扣在研究期间抵消了2-12%的仿制药总支出 (536亿美元).
- 对于非口服的仿制药和价格较高的药物,观察到更大的折扣.
结论:
- 通用通胀折扣大大抵消了医疗补助支出,但并没有阻止许多通用药价格高于通货膨胀.
- 根据"2022年通货膨胀减少法案"扩大对医疗保险的通货膨胀折扣可能会改变这种情况.
- 加强促进竞争性仿制药市场的政策对于保护美国患者免受药品成本上升至关重要.
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