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Trying
To Get Your Drug
On a Managed Care Formulary?
To
get your product on a managed care organization's formulary,
you need to convince the decision-makers the issue is not
the price of the drug but why your product is more cost-effective
in the long run.
Your product can only be cost-effective
if it is taken correctly. For instance, patients who missed
only 20% of their prescribed dose of beta-blockers for mild
hypertension had a 4.5 to 6.5 fold increased risk of coronary
heart disease.
This is why patient compliance
is at the heart of your product's long term success. It has
been proven that high quality programs that teach patients
how to take their medications result in lower healthcare costs:
- An
intensive one-week outpatient program of reevaluation
and education of asthma patients produced a drop
of 80% in hospitalizations, 45% in emergency room
visits, and 82% in total hospital days within a
year after the program.
- Blue
Cross/Blue Shield of Massachusetts realized a 50%
drop in treatment costs and a 40% drop in hospital
admissions when they combined an asthma education
program with a 60% increase in the use of anti-inflammatory
inhalers.
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