Variability in Price of Generic Antipsychotic Medications at Community Pharmacies

Kriz, Carrie R.; Nelson, Leigh Anne; Venkitachalam, Lakshmi; Allsworth, Jenifer E.; Cheng, An‐Lin; Sommi, Roger W.

doi:10.1176/appi.ps.201900319

Cited by 2 publications

(5 citation statements)

References 16 publications

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“…The overall trend in chain versus independent pharmacy prices of our study is in line with other studies on price variation for urological and nonurological medications. 13,14,22–24 However, our study is the first to identify significant price reductions in lower income neighborhoods. Mishra 13 and Theisen 14 et al identified significantly higher cash prices for ED and BPH medication at chain pharmacies in the Cleveland and Pittsburgh areas, respectively.…”

Section: Discussionmentioning

confidence: 90%

A Comparison of Pharmaceutical Prices for Generic Erectile Dysfunction and Benign Prostatic Hyperplasia Medication in 2 Socioeconomically Disparate New York City Neighborhoods

et al. 2022

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Introduction: Erectile dysfunction (ED) and benign prostatic hyperplasia (BPH) are frequently managed with medications. Variability and poor understanding of medication prices have been shown to hinder patient adherence, leading to worse clinical outcomes. We sought to explore how pharmacy type and neighborhood socioeconomic status influence pricing for generic ED and BPH medications.Methods: A total of 96 pharmacies within the adjacent higher income Upper East Side (UES) and lower income East Harlem (EH) New York City neighborhoods were classified as chain or independent. Telephone surveys identified cash prices for 30-day supplies of 14 medications including phosphodiesterase 5-inhibitors, 5-alpha reductase inhibitors, alpha blockers and antispasmodics. Pricing variability based on pharmacy type and neighborhood was evaluated using Mann-Whitney U-tests.Results: Of 96 pharmacies, 81 responded (84.4%). Independent pharmacies showed significantly reduced prices for 9/14 and 14/14 medications in UES and EH, respectively. The greatest independent pharmacy price reductions were for tadalafil 20 mg (15.0-fold in UES, 26.7-fold in EH) and sildenafil . The least significant reductions were in mirabegron (1.1-fold in UES, 1.2-fold in EH). Independent pharmacies in EH showed lower prices for 9/14 medications compared to those in UES.Conclusions: Across both neighborhoods, independent pharmacies offered consistently lower cash prices for ED and BPH medications. Lower independent pharmacy prices in the lower income EH neighborhood suggest that neighborhood socioeconomic status may impact pricing. Physicians and patients alike must understand the factors that influence pricing to ensure more optimal patient compliance for uninsured patients.

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Section: Discussionmentioning

confidence: 90%

A Comparison of Pharmaceutical Prices for Generic Erectile Dysfunction and Benign Prostatic Hyperplasia Medication in 2 Socioeconomically Disparate New York City Neighborhoods

et al. 2022

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“…And by the way, Kriz et al 2 found that prices were highest — on average, $415 higher than independent pharmacies — at pharmacies belonging to nationwide chains. Chains that, as we speak, are promoting their commitment to improving our health and our social welfare while saving us money.…”

Section: Social Determinantsmentioning

confidence: 99%

“…So perhaps now you can see that the reason I had trouble letting go of the study by Kriz and colleagues 2 was because it left me with questions I couldn't let go of:…”

Section: Social Determinantsmentioning

confidence: 99%

“…The earworm in question is a piece by Kriz and colleagues, 2 originally appearing in Psychiatric Services . When I first encountered the article a few months ago, I couldn't decide whether we should cover it in the Update .…”

mentioning

confidence: 99%

“…So let's summarize the key points of the article. What Kriz et al 2 did was to survey 281 community pharmacies in the Kansas City metropolitan area (they had an impressive 94% response rate) on the price of a 30‐day supply of one first‐generation and five second‐generation antipsychotics. All of the surveyed drugs were available as generics.…”

mentioning

confidence: 99%

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Variability in Price of Generic Antipsychotic Medications at Community Pharmacies

Cited by 2 publications

References 16 publications

A Comparison of Pharmaceutical Prices for Generic Erectile Dysfunction and Benign Prostatic Hyperplasia Medication in 2 Socioeconomically Disparate New York City Neighborhoods

A Comparison of Pharmaceutical Prices for Generic Erectile Dysfunction and Benign Prostatic Hyperplasia Medication in 2 Socioeconomically Disparate New York City Neighborhoods

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