340B合同药房增长与付款人特定药物覆盖范围之间的关联
Sayeh Nikpay1, Claire McGlave2
1University of Minnesota School of Public Health, 516 Delaware St SE, PWB 15-211, Minneapolis, MN 55455.
The American journal of managed care
|February 27, 2026
概括
发放340B药物的合同药房数量急剧增加,从2010年至2021年期间从县药房的1.5%增加到43.7%. 这种增长与医疗保险/医疗补助覆盖率有关,特别是在允许340B药物分发给医疗补助患者的州.
科学领域:
- 卫生经济学 卫生经济学
- 制药政策 制药政策
- 医疗保健市场分析
背景情况:
- 340B药品定价计划允许符合条件的医疗保健机构以降低价格购买门诊药物.
- 被覆盖的实体利用这些储蓄为患者提供折扣药物或产生补贴.
- 合同药房在分销340B种药物方面发挥着重要作用,占销售额的很大一部分.
研究的目的:
- 分析340B所覆盖实体使用的合同药房的市场特征和地理分布.
- 调查过去十年合同药房增长的趋势.
- 了解合同药房位置和付款人组合之间的相关性.
主要方法:
- 将合同药房位置数据与管理市场调查员数据联系起来.
- 描述340B所涵盖的实体建立合同药房的市场.
- 从2010年到2021年分析合同药房流行趋势.
主要成果:
- 在一个县中,药房分发340B药物的平均份额从2010年的1.5%上升到2021年的43.7%.
- 合同药房的增长与医疗保险和医疗补助覆盖率有积极的相关性.
- 与医疗补助覆盖的关联在允许通过合同药房向医疗补助患者分发340B药物的州中最为强烈.
结论:
- 被覆盖的实体,特别是医院,在最大限度地提高340B计划补贴的市场上战略定位合同药房.
- 合同药房的扩张受到政府赞助的保险计划的存在的重大影响.
- 关于医疗补助计划患者通过合同药房获得340亿种药物的州政策影响了药房分销模式.
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