直接向消费者销售的药房中的神经药物费用与商业保险计划相比
Amanda V Gusovsky Chevalier1,2, Chun Chieh Lin3, Kevin Kerber3
1Center for the Advancement of Team Science, Analytics, and Systems Thinking in Health Services and Implementation Science Research (CATALYST), College of Medicine, The Ohio State University, Columbus.
与商业保险计划相比,直接向消费者销售的药房对许多神经病药物的总成本要低得多. 然而,一些患者的自付费用可能会更高,这凸显了需要仔细考虑药物支出选择的必要性.
科学领域:
- 卫生经济学 卫生经济学
- 药物经济学 药物经济学
- 神经学 神经学
背景情况:
- 神经学药物的成本上升迫使人们探索节省成本的替代方案.
- 直接销售给消费者 (DTC) 药房为降低药品费用提供了一个潜在的选择.
研究的目的:
- 为了比较2024年从商业保险计划中估计的神经病药物成本与DTC药房的定价.
- 分析DTC和商业药房选项之间的口袋支付 (OOP) 和总成本差异.
主要方法:
- 一项横截面研究将DTC药房价格与2024年模型估计的商业和Medicare补充成本进行了比较.
- 药品成本是从商业保险数据 (2012-2021) 和DTC药房网站 (2024年12月10日) 中获得的.
- 对33种神经病药物的年度OOP和总成本的计算差异.
主要成果:
- 虽然DTC药房的开放式开放成本比DTC药房高75%,但总成本比商业药房低413%.
- 只有teriflunomide和droxidopa在DTC药房中显示较低的OOP和总成本.
- 55%的DTC药物总年费用较低,而特里弗卢诺米德,德罗克西多巴和二甲基烟酸盐的总年费用显著降低.
结论:
- DTC药房可以为没有保险的患者提供可比的OOP成本,并显著降低某些神经药物的总成本.
- 广泛采用DTC药房成本结构可能会降低整体处方支出.
- 医疗保健提供者应该考虑DTC药房作为一个可行的选择,为患者管理神经药物费用.
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