在过渡到非处方产品后,纳洛的可用性和成本
Grace T Marley1,2, Izabela E Annis3, Kathleen L Egan4
1UNC Eshelman School of Pharmacy, Chapel Hill, North Carolina.
JAMA health forum
|July 26, 2024
概括
在批准后,非处方药 (OTC) 纳洛的可用性增加,在北卡罗来纳州药房的成本下降. 与连锁和城市药房相比,独立和农村药房的纳洛成本分别较高.
科学领域:
- 公共卫生 公共卫生
- 药理学 药理学是指药理学的学科.
- 医疗保健服务研究 医疗服务研究
背景情况:
- 美国食品和药物管理局 (FDA) 在2023年3月批准纳洛鼻喷雾作为非处方药 (OTC) 药物,以改善可获得性和减少阿片类药物过量死亡.
- 然而,这项政策对纳洛在社区药房的现实可用性和成本的影响尚未评估.
研究的目的:
- 评估在OTC批准后北卡罗来纳州社区药房中纳洛可获得性和成本的变化.
- 为了确定药房类型和城市化是否影响了纳洛的成本和可用性.
主要方法:
- 一个纵向的,以电话为基础的秘密购物者调查对202个分层的北卡罗来纳州社区药房 (卫生部门,独立,连锁) 进行了调查.
- 数据收集分为两个阶段:2023年3月至4月 (OTC前可用性) 和2023年11月至2024年1月 (OTC后可用性).
- 测量的关键结果是当天的纳洛可用性,没有处方和支付现金的个人自付费用.
主要成果:
- 在OTC批准后,当天纳洛的可用性从42.2%显著增加到57.8%,OTC批准后 (P <.001).
- 纳洛的平均自付成本从90.93美元降至62.67美元 (P < .001).
- 独立药房的成本始终高于连锁药房. 在OTC后,城市药房的成本低于郊区和农村药房.
结论:
- 美国食品和药物管理局 (FDA) 对纳洛鼻雾剂的OTC批准成功提高了其可用性,并为支付现金的患者降低了成本.
- 尽管总体情况有所改善,但基于药房类型和位置的成本差异仍然存在,这突出了公平获取的潜在障碍.
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