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新型抗肥胖药物的净价格
Inmaculada Hernandez1, Sean D Sullivan2,3
1Division of Clinical Pharmacy, University of California, San Diego, Skaggs School of Pharmacy and Pharmaceutical Sciences, La Jolla, California, USA.
Obesity (Silver Spring, Md.)
|January 16, 2024
概括
制造商折扣显著降低了类似葡萄糖-1受体激动剂 (GLP1) 的净价格. 了解这些净价格对于有关肥胖治疗GLP1的保险覆盖决定至关重要.
科学领域:
- 药物经济学 药物经济学
- 卫生政策 卫生政策
- 药品定价 药品定价 药品定价
背景情况:
- 类似葡萄糖-1受体激动剂 (GLP1s) 对肥胖和2型糖尿病有效.
- 由于肥胖的高患病率,GLP1的保险覆盖面受到争论.
- 准确的净价格,考虑到折扣,对于预算影响分析至关重要.
研究的目的:
- 在制造商折扣后估计GLP1s的净价格.
- 为GLP1s的保险覆盖和退款决定提供信息.
主要方法:
- 通过将目录价格的毛销售与制造商收入进行比较,估计制造商折扣.
- 减去政府计划 (340B,医疗补助,医疗保险D部分) 的折扣.
- 将剩余的折扣分配给商业市场,以确定净价格.
主要成果:
- 据估计,肥胖批准的GLP1有41%的制造商折扣,导致净价格为717美元-761美元/月.
- 经过2型糖尿病批准的GLP1有54%-59%的折扣,净价格为每月312-469美元.
- 在这两种迹象中都观察到显著的折扣.
结论:
- 制造商折扣大幅降低GLP1的价格.
- 净价格数据对于付款人对肥胖GLP1的保险决定至关重要.
- 考虑净价格对于准确的药物经济评估至关重要.
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