在具有商业保险的个人中,艾滋病毒暴露前预防的使用和支出趋势
1West Health Policy Center, Washington, DC, USA.
AIDS (London, England)
|February 28, 2024
概括
大多数HIV暴露前预防 (PrEP) 处方都是昂贵的品牌版本,而不是可用的通用选择. 转换为通用TDF/FTC PrEP可以为商业保险公司节省33%,同时提供类似的临床益处.
科学领域:
- 药物经济学 药物经济学
- 公共卫生 公共卫生
- 预防传染病 预防传染病
背景情况:
- 艾滋病毒暴露前预防 (PrEP) 对于预防艾滋病毒传播至关重要.
- 商业保险患者占使用PrEP的重要人口.
- 通用PrEP配方的可用性提供了一个节省成本的机会.
研究的目的:
- 分析商业保险患者中PrEP使用模式.
- 评估品牌与通用PrEP配方的成本影响.
- 为了确定商业保险公司的潜在成本节约.
主要方法:
- 对2019-2021年处方数据的横截面分析.
- 对品牌和通用PrEP的利用率的比较.
- 制药经济建模以评估成本差异.
主要成果:
- 处方主要支持品牌PrEP配方.
- 提供通用TDF/FTC (特诺福维尔二氧化 fumarate/emtricitabine) 的PrEP.
- 通用TDF/FTC PrEP的广泛采用可能会使保险公司的支出减少33%.
结论:
- 从成本效益的角度来看,目前对商业保险人员的PrEP处方模式是不理想的.
- 通过优先考虑通用TDF/FTC PrEP,可以实现显著的成本节约.
- 政策和处方指南应鼓励使用具有成本效益的通用PrEP选项.
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