Comparison of costs of community and mail service pharmacy
Comparison of costs of community and mail service pharmacy
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DOI：
10.1331/1544345054003796
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发表时间：
2005-05-01
影响因子：
2.1
通讯作者：
Oscar, Robert
中科院分区：
文献类型：
--
作者：
Carroll, Norman V.;Brusilovsky, Ilia;Oscar, Robert
目的：比较通过邮寄服务和社区药房分发的处方的成本，以量化两种类型的药房的比较成本。设计：基于来自一组患者的1年索赔数据的建模研究。设置：美国东北部的一个健康计划。患者：大约100，000名健康计划的成员。干预：该计划使用了一个小型药房福利经理（PBM）和一个不属于大型PBM的邮件服务药房，这是一个三级福利设计，并规定患者可以通过邮件服务获得90天的供应，相当于两个30天的社区药房共同支付。主要结果测量：实际总，成分，计划，和病人的处方通过邮件服务药房和那些相同的处方在社区pharmacy.Results的估计成本分配的成本：通过邮件服务分配的44,847处方的总成本为6401624美元。如果这些处方是在社区药房分发的，费用将为6 902 252美元。邮寄的间接费用为6,401,624美元，而社区药店的间接费用为6,633,170美元。通过邮寄的健康计划总费用为4 726 637美元，而在社区药店的费用为4 417 733美元。会员费用为1，674，987美元通过邮件与2，484，519美元在community pharmacs.Conclusion：与社区药房相比，邮件服务药房是便宜的整体，便宜的病人，但更昂贵的健康计划。从健康计划的角度来看，邮件服务福利中的共同支付损失大于配料成本和配药费用的节省。
Objective: To compare the costs of prescriptions dispensed through mail service and community pharmacies to quantify the comparative costs of the two types of pharmacies.Design: Modeling study based on 1-year of claims data from a cohort of patients.Setting: A health plan in the northeastern United States.Patients: Approximately 100,000 members of the health plan.Intervention: The plan used a small pharmacy benefits manager (PBM) and a mail service pharmacy that was not owned by a major PBM, a three-tier benefit design, and specified that patients could get a 90-day supply through mail service for the equivalent of two 30-day community pharmacy copayments.Main Outcome Measures: Actual total, ingredient, plan, and patient costs of prescriptions dispensed through a mail service pharmacy and the estimated costs of those same prescriptions at community pharmacies.Results: Total costs for the 44,847 prescriptions dispensed through mail service were $6,401,624. Had these prescriptions been dispensed at community pharmacies, costs would have been $6,902,252. Ingredient costs were $6,401,624 through mail versus $6,633,170 at community pharmacies. Total costs to the health plan were $4,726,637 through mail versus $4,417,733 at community pharmacies. Member costs were $1,674,987 through mail versus $2,484,519 at community pharmacies.Conclusion: Compared with community pharmacies, the mail service pharmacy was less expensive overall, less expensive for patients, but more expensive to the health plan. From the health plan's perspective, the loss of copayments in the mail service benefit was greater than the savings on ingredient costs and dispensing fees.