Abstract:
BACKGROUND AND OBJECTIVES:Despite the introduction of Medicare Part D (MPD) and 2012 Affordable Care Act (ACA), patients have a cost burden due to increases in drug prices. To overcome cost barriers, some patients purchase their medications from Canadian online pharmacies as Canadian prescription drug prices are believed to be lower than US prescription drug prices. The objective of this study was to determine which top 100 Medicare drugs can be imported to the USA legally, and to determine which type of prescription drug would be more beneficial to be purchased from Canadian online pharmacies. Moreover, we also deemed it important to compare MPD beneficiary annual expenses with expenses patients would have when obtaining their prescriptions from Canadian online pharmacies. METHODS:We conducted a cost analysis from a patient perspective. A list of the top 100 Medicare drugs was compiled and information on drug prices was collected from three Canadian online pharmacies and four MPD plans in Virginia. The annual cost of each Medicare drug and percent change between Canadian online pharmacies and MPD were compared. RESULTS:A total of 78 drugs from the top 100 Medicare drugs were included in the final analysis. Seventy-six prescription drugs (97.4%) that could be purchased from Canadian online pharmacies showed a significantly lower average drug price percent change of -72.71% (P < 0.0001). The heart health/blood pressure subgroup had the highest number of drugs that could be purchased from Canadian online pharmacies. CONCLUSION:The majority of prescription drugs can be purchased at lower prices from Canadian online pharmacies when compared to Medicare beneficiaries' potential expenses. Purchasing medications from Canadian online pharmacies may be a viable option to address cost barriers.
journal_name
Clin Drug Investigjournal_title
Clinical drug investigationauthors
Kim SH,Ryu YJ,Cho NE,Kim AE,Chang Jdoi
10.1007/s40261-017-0556-6subject
Has Abstractpub_date
2017-10-01 00:00:00pages
957-963issue
10eissn
1173-2563issn
1179-1918pii
10.1007/s40261-017-0556-6journal_volume
37pub_type
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pub_type: 杂志文章
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journal_title:Clinical drug investigation
pub_type: 杂志文章,多中心研究,随机对照试验
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pub_type: 杂志文章
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journal_title:Clinical drug investigation
pub_type: 杂志文章,多中心研究,随机对照试验
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doi:10.2165/00044011-200525050-00005
更新日期:2005-01-01 00:00:00
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journal_title:Clinical drug investigation
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journal_title:Clinical drug investigation
pub_type: 杂志文章
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更新日期:2014-01-01 00:00:00
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journal_title:Clinical drug investigation
pub_type: 杂志文章
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journal_title:Clinical drug investigation
pub_type: 已发布勘误
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更新日期:2020-03-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2003-01-01 00:00:00
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pub_type: 杂志文章,评审
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pub_type: 临床试验,杂志文章,多中心研究
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pub_type: 杂志文章,随机对照试验
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更新日期:2011-11-01 00:00:00