需要对非处方纳洛进行保险覆盖和一致的定价
Blake Fagan1, Delesha Carpenter2, Grace Marley3
1Department of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill; Physician, Mountain Area Health Education Center, Asheville, North Carolina.
Journal of opioid management
|January 8, 2025
概括
尽管在2023年批准了非处方纳洛鼻雾剂,但保险覆盖范围各不相同,阻碍了获取. 建议提供全民保险覆盖和阿片类药物结算基金,以确保公平获得这种过量逆转药物.
科学领域:
- 药理学和公共卫生
- 预防阿片类药物过量服用
背景情况:
- 2023年FDA对第一个非处方纳洛鼻喷雾剂的批准旨在改善获取并降低成本.
- 纳洛是逆转阿片类药物过量服用的关键药物.
研究的目的:
- 评估纳洛鼻喷雾在非处方药供应后的真实世界保险覆盖范围.
- 识别阻碍公平获得纳洛的障碍.
主要方法:
- 在当地药房尝试购买纳洛鼻雾剂时的保险覆盖的分析.
- 关于可变保险覆盖对药物获取的影响的评论.
主要成果:
- 在不同药房中观察到纳洛鼻喷雾的保险覆盖面有显著差异.
- 不一致的覆盖率构成了进入这种救命过量逆转药物的障碍.
结论:
- 建议联邦政策规定至少有一种纳洛配方的普遍保险覆盖.
- 利用国家阿片类药物结算基金可以确保公平获得纳洛鼻喷雾剂.
- 解决保险差异对于防止过量服用死亡至关重要.
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