Comparison of vials and prefilled pens of a rapid-acting insulin analog on pharmacy budgets in a long-term care setting.
| Autor: | Eby EL; Economics and Health Policy, Medtronic, Inc., Minneapolis, Minnesota, USA., Smolen LJ, Pitts AC, Krueger LA, Andrews JS |
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| Jazyk: | angličtina |
| Zdroj: | The Consultant pharmacist : the journal of the American Society of Consultant Pharmacists [Consult Pharm] 2014 Dec; Vol. 29 (12), pp. 813-22. |
| DOI: | 10.4140/TCP.n.2014.813 |
| Abstrakt: | Objective: Estimate budgetary impact for skilled nursing facility converting from individual patient supply (IPS) delivery of rapid-acting insulin analog (RAIA) 10-mL vials or 3-mL prefilled pens to 3-mL vials. Design: A budget-impact model used insulin volume purchased and assumptions of length of stay (LOS), daily RAIA dose, and delivery protocol to estimate the cost impact of using 3-mL vials. Setting: Skilled nursing facility. Participants: Medicare Part A patients. Interventions: Simulations conducted using 12-month current and future scenarios. Comparisons of RAIA use for 13- and 28-day LOS. Main Outcome Measures: RAIA costs and savings, waste reduction. Results: For patients with 13-day LOS using 20 units/day of IPS insulin, the model estimated a 70% reduction in RAIA costs and units purchased and a 95% waste reduction for the 3-mL vial compared with the 10-mL vial. The estimated costs for prefilled pen use were 58% lower than for use of 10-mL vials. The incremental savings associated with 3-mL vial use instead of prefilled pens was 28%, attributable to differences in per-unit cost of insulin in vials versus prefilled pens. Using a more conservative scenario of 28-day LOS at 20 units/day, the model estimated a 40% reduction in RAIA costs and units purchased, resulting in a 91% reduction in RAIA waste for the 3-mL vial, compared with 10-mL vial. Conclusion: Budget-impact analysis of conversion from RAIA 10-mL vials or 3-mL prefilled pens to 3-mL vials estimated reductions in both insulin costs and waste across multiple scenarios of varying LOS and patient daily doses for skilled nursing facility stays. |
| Databáze: | MEDLINE |
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