Potential savings from an evidence-based consumer-oriented public education campaign on prescription drugs

Health Serv Res. 2008 Oct;43(5 Pt 1):1557-75. doi: 10.1111/j.1475-6773.2008.00858.x. Epub 2008 May 13.

Abstract

Objective: To estimate potential savings associated with the Consumer Reports Best Buy Drugs program, a national educational program that provides consumers with price and effectiveness information on prescription drugs.

Data sources: National data on 2006 prescription sales and retail prices paid for angiotensin-converting enzyme inhibitors (ACEIs), β-blockers, calcium channel blockers, and 3-hydroxy-3-methylglutaryl coenzyme A (HMG-coA) reductase inhibitors (statins).

Study design: We converted national data on aggregate unit sales of drugs in the four classes to defined daily doses (DDD) and estimated a range of potential savings from generic and therapeutic substitution.

Principal findings: We estimated that $2.76 billion, or 7.83 percent of sales, could be saved if use of the drugs recommended by the educational program was increased. The recommended drugs' prices were 15-65 percent lower per DDD than their therapeutic alternatives. The majority (57.4 percent) of potential savings would be achieved through therapeutic substitution.

Conclusions: Substantial savings can be achieved through greater use of comparatively effective and lower cost drugs recommended by a national consumer education program. However, barriers to dissemination of consumer-oriented drug information must be addressed before savings can be realized.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adrenergic beta-Antagonists / economics
  • Angiotensin-Converting Enzyme Inhibitors / economics
  • Calcium Channel Blockers / economics
  • Cardiovascular Agents / economics*
  • Costs and Cost Analysis
  • Drug Utilization / economics*
  • Evidence-Based Medicine
  • Fees, Pharmaceutical / statistics & numerical data*
  • Health Education / methods
  • Health Education / organization & administration*
  • Humans
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors / economics
  • Prescription Drugs / economics*

Substances

  • Adrenergic beta-Antagonists
  • Angiotensin-Converting Enzyme Inhibitors
  • Calcium Channel Blockers
  • Cardiovascular Agents
  • Hydroxymethylglutaryl-CoA Reductase Inhibitors
  • Prescription Drugs