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首页> 外文期刊>Journal of the American Pharmacists Association: JAPhA >Comparison of costs of community and mail service pharmacy.
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Comparison of costs of community and mail service pharmacy.

机译：社区和邮件服务药房的费用比较。

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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 dollar 6,401,624. Had these prescriptions been dispensed at community pharmacies, costs would have been dollar 6,902,252. Ingredient costs were dollar 6,401,624 through mail versus dollar 6,633,170 at community pharmacies. Total costs to the health plan were dollar 4,726,637 through mail versus dollar 4,417,733 at community pharmacies. Member costs were dollar 1,674,987 through mail versus dollar 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.
机译：目的：比较通过邮寄服务和社区药店分发的处方药的成本，以量化两种药店的比较成本。设计：基于来自一组患者的1年索赔数据的建模研究。地点：美国东北部的一项健康计划。患者：大约100,000名健康计划成员。干预措施：该计划使用了一家小型药房福利经理（PBM）和一家不属于主要PBM的邮件服务药房（三层福利设计），并指定患者可以通过邮件服务获得90天的药品供应相当于两次30天社区药房共付额。主要观察指标：通过邮件服务药房分配的处方药的实际总费用，成分，计划和患者费用，以及在社区药房进行的相同处方药的估计费用。结果：通过邮件服务分发的44,847张处方的总费用为6,401,624美元。如果这些处方在社区药房配发，费用将为6,902,252美元。邮寄的原料成本为6,401,624美元，而社区药房的原料成本为6,633,170美元。卫生计划的总邮寄费用为4,726,637美元，而社区药房为4,417,733美元。邮寄的会员费用为1,674,987美元，而社区药房的会员费用为2,484,519美元。结论：与社区药店相比，邮件服务药店总体上较便宜，对患者而言更便宜，但对健康计划而言则更为昂贵。从健康计划的角度来看，邮件服务收益中共付额的损失大于节省的原料成本和配药费。

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