Managed Care

 

Forecast for injectable agents: more and higher cost

MANAGED CARE September 2003. © MediMedia USA
The Formulary Files

Forecast for injectable agents: more and higher cost

MANAGED CARE September 2003. ©MediMedia USA











Twenty injectable drugs accounted for two-thirds of the total injectable costs, excluding chemotherapy agents and vaccines, at a representative HMO with two million covered lives. That is typical, says Don Dindak of Bioscrip Injectables. "Injectable agents are 8 percent to 15 percent of the total drug bill, depending on plan demographics," says Dindak. "If you compare the costs of injectable agents on a per-patient basis compared to a PBM-- regular card and mail programs — the average cost per month is $1,000 for a patient who needs a top-20 injectable drug. That is eight to ten times what a patient in a PBM spends."

And the number of injectable agents and the cost is just beginning to grow, says Dindak. "There are about 90 to 95 injectable agents available, but there are about 350 agents in the pipeline, and 40 percent are related to cancer. This increase will add significantly to the drug bill. And the cost of injectable agents is growing at a rate of 20 percent to 40 percent, about twice as fast as regular drugs are growing," he says.

The top 20 injectable drug costs in a representative HMO

Total: $35 million

SOURCE: BIOSCRIP INJECTABLES

Meetings

Private Health Insurance Exchanges Conference Washington, D.C. October 7–8, 2014
National Healthcare Facility Management Summit Palm Beach, FL October 16–17, 2014
National Healthcare CFO Summit Las Vegas, NV October 19–21, 2014
National Healthcare CXO Summit Las Vegas, NV October 19–21, 2014
Innovative Member Engagement Operations For Health Plans Las Vegas, NV October 20–21, 2014
4th Partnering With ACOs Summit Los Angeles, CA October 27–28, 2014
2014 Annual HEDIS® and Star Ratings Symposium Nashville, TN November 3–4, 2014
PCMH & Shared Savings ACO Leadership Summit Nashville, TN November 3–4, 2014
World Orphan Drug Congress Europe 2014 Brussels, Belgium November 12–14, 2014
Medicare Risk Adjustment, Revenue Management, & Star Ratings Fort Lauderdale, FL November 12–14, 2014
Healthcare Chief Medical Officer Forum Alexandria, VA November 13–14, 2014
Home Care Leadership Summit Atlanta, GA November 17–18, 2014