Bazalo Gary, Weiss Richard C
Managed Solutions, LLC, Conifer, Colorado.
Consult Pharm. 2011 Sep;26(9):647-56. doi: 10.4140/TCP.n.2011.647.
To determine the cost of unused medication dispensed to Medicare Part D residents in nursing facilities in the United States and to describe the distribution of unused medication based on dispensed prescription cost and unit medication cost.
A prospective study in which dispensed and returned prescription data for Medicare Part D residents encompassing the first six months of 2010 were provided by eight long-term care pharmacies servicing approximately 33,700 residents in 425 facilities.
Nursing facilities.
Residents covered by Medicare Part D.
Unused medication as a percentage of dispensed prescriptions was calculated based on the number of returned prescriptions and the cost of unused medication for all dosage forms and for solid oral forms.
For all dosage forms, 6.8% of dispensed prescriptions were returned partially used, representing 3.5% of dispensed cost. For solid oral dosage forms, 6.1% of all dispensed prescriptions were returned partially used, representing 2.9% ± 1% of total dispensed cost. For returned oral solid prescriptions, 24% had a dispensed cost of $50 or more but accounted for 84% of the cost of returned medications; 26% had a unit cost of $1 of more, but accounted for 83% of the cost. The total amount of unconsumed solid oral medication for Medicare Part D residents in skilled nursing facilities was estimated at $125 million annually.
The estimated cost of unconsumed medications dispensed to Medicare Part D residents in nursing facilities is approximately 3% of dispensed cost, amounting to approximately $125 million across all U.S. nursing facilities.
确定美国疗养院中发放给医疗保险D部分参保居民但未使用的药物成本，并根据发放的处方成本和单位药物成本描述未使用药物的分布情况。
一项前瞻性研究，由8家长期护理药房提供2010年前6个月医疗保险D部分参保居民的发放和退回处方数据，这些药房为425家机构中的约33700名居民提供服务。
疗养院。
医疗保险D部分覆盖的居民。
根据退回处方数量以及所有剂型和固体口服剂型未使用药物的成本，计算未使用药物占发放处方的百分比。
对于所有剂型，6.8%的发放处方被部分退回使用，占发放成本的3.5%。对于固体口服剂型，6.1%的发放处方被部分退回使用，占总发放成本的2.9%±1%。对于退回的口服固体处方，24%的处方发放成本为50美元或更高，但占退回药物成本的84%；26%的处方单位成本为1美元或更高，但占成本的83%。据估计，专业护理机构中医疗保险D部分参保居民每年未消费的固体口服药物总量为1.25亿美元。
疗养院中发放给医疗保险D部分参保居民但未消费的药物估计成本约为发放成本的3%，全美国所有疗养院的这一成本约为1.25亿美元。
