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Patient cost associated with filling a prescription for extended-duration venous thromboembolism (VTE) prophylaxis following surgery for gynecologic cancer
- Source :
- Gynecologic Oncology. 127:18-21
- Publication Year :
- 2012
- Publisher :
- Elsevier BV, 2012.
-
Abstract
- Objective The primary purpose of this study was to determine the average patient cost for filling a prescription for extended-duration enoxaparin prophylaxis. Methods Women who underwent major abdominal/pelvic surgery for histologically confirmed gynecologic malignancy were included. Patients who underwent minimally invasive surgery, had benign disease or were on treatment for existing VTE were excluded. Pharmacy resource specialists electronically submitted test prescriptions to verify enoxaparin coverage in the outpatient setting prior to hospital discharge. Patient co-pay information collected included: the number of patients requiring prescription insurance prior authorization, those qualifying for the Lovenox Patient Assistance Program® (PAP) and insurance status. Results Three hundred and sixty-four patients were discharged with extended-duration enoxaparin prophylaxis for 28days between October 2009 and May 2011. The average patient cost to complete 28days of enoxaparin prophylaxis was $62 (median $21, range $0–1210). Prior authorization was required for 32 patients (10%). Two patients (0.6%) qualified for the Lovenox Patient Assistance Program®. A decrease in the average patient cost from $71 to $52 (median $30 to $10) was observed after generic enoxaparin approval in July 2011. Conclusion Our results show that at least 90% of patients filled their prescription of extended-duration enoxaparin prophylaxis after major abdominal surgery for cancer regardless of cost.
- Subjects :
- Adult
medicine.medical_specialty
Genital Neoplasms, Female
Cost-Benefit Analysis
Pharmacy
Vte prophylaxis
Insurance Coverage
Young Adult
Gynecologic Surgical Procedures
Gynecologic cancer
Hospital discharge
Humans
Medicine
Prior authorization
Enoxaparin
Medical prescription
Aged
Aged, 80 and over
business.industry
Prescription Fees
Anticoagulants
Obstetrics and Gynecology
Health Care Costs
Venous Thromboembolism
Middle Aged
United States
Surgery
Oncology
Female
Health Expenditures
business
Venous thromboembolism
Abdominal surgery
Subjects
Details
- ISSN :
- 00908258
- Volume :
- 127
- Database :
- OpenAIRE
- Journal :
- Gynecologic Oncology
- Accession number :
- edsair.doi.dedup.....367e96320fe6f83ceb4ed72a68df7a9b