工业支付和品牌Glatiramer乙在美国医疗保险计划中的处方
Daniel M Hartung1, Sheila Markwardt2, Dennis Bourdette3
1College of Pharmacy, Oregon State University, Portland, OR.
Neurology. Clinical practice
|January 8, 2025
概括
来自glatiramer酸盐制造商的财务支付与神经病学家对品牌配方的处方增加有关. 这表明,尽管有通用可用性,但财务关系可能会影响处方模式.
科学领域:
- 药物经济学 药物经济学
- 神经学 神经学
- 药品营销 药品营销 药品营销
背景情况:
- 自2015年以来,通用glatiramer酸盐配方已可用,但与品牌版本相比,其处方不足.
- 这项研究调查了对品牌药物和通用药物glatiramer acetate处方的潜在财务影响.
研究的目的:
- 描述医疗保险中品牌glatiramer酸盐处方与其制造商Teva Pharmaceuticals的财务支付之间的关联.
- 分析制造商支付和神经科医生对格拉蒂拉默酸盐的处方习惯之间的关系.
主要方法:
- 使用的医疗保险D部分和开放支付数据 (2012-2021) 对于glatiramer酸盐的利用.
- 2019年支付的流行,频率和规模与神经科医生在2020年处方品牌和通用glatiramer的情况进行了比较.
- 采用多变量后勤回归来评估制造商支付和品牌glatiramer处方之间的关联,调整为神经科医生特征.
主要成果:
- 在2021年,52%的glatiramer酸盐处方是针对品牌配方的.
- 接受制造商支付的神经科医生比没有收到支付 (39%) 的神经科医生更有可能开处方品牌版本 (53%).
- 较高的年付款 (每年121美元至230美元和>230美元) 显著增加了处方品牌glatiramer酸盐的几率 (AOR分别为1.47和1.87).
结论:
- 神经科医生和glatiramer酸盐制造商之间的财务关系可能会导致通用配方的持续处方不足.
- 持续的金融激励可能是维持品牌格拉蒂拉默酸市场份额的关键因素,尽管存在通用竞争.
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