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分析过度活跃膀的口服药物的获取和成本:揭示差异
Katherine Shapiro1, Stacie B Dusetzina2, Benjamin M Brucker1
1New York University, Department of Urology, New York, NY.
Urology
|October 1, 2023
概括
过活性膀 (OAB) 药物的自付费用在医疗保险受益者之间有很大的差异. 覆盖范围不能保证负担得起的药物价格,影响患者获得基本的OAB治疗.
科学领域:
- 药物经济学 药物经济学
- 医疗保健服务研究 医疗服务研究
背景情况:
- 过度活性膀 (OAB) 药物给患者带来了相当大的自费成本.
- 了解药品定价和使用管理对于医疗保险受益者和没有保险的人来说至关重要.
研究的目的:
- 分析医疗保险受益者和无保险人群中OAB药物的自付费用.
- 提高OAB药物的年度总成本和利用管理的透明度.
主要方法:
- 医疗保险D部分处方药计划表单数据的横截面分析 (Q1-2022).
- 在医疗保险D部分阶段,零售价格和折扣价格中计算出自付费用.
- 评估使用管理要求,如事先授权和步骤治疗.
主要成果:
- 在初始覆盖阶段,每月OAB药物费用平均为抗胆固醇药 (ACHs) 59美元,β-3激动剂 (B3s) 47美元.
- 年费用为494美元至2198美元的ACH和1283美元的B3.
- 预先授权和步骤治疗对于 ACHs 是常见的,但对于 B3s 是罕见的.
结论:
- 覆盖OAB药物并不能确保Medicare受益人的负担能力.
- 在不同的OAB药物类别和医疗保险覆盖阶段之间存在显著的成本差异.
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