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Study Finds New Blood Thinning Medication, Pradaxa®, Comes at High Cost
Date:10/20/2011

975 patients met warfarin monitoring criteria and the PPPY total warfarin management costs were $544 ($496 medical plus $48 pharmacy) while the total dabigatran PPPY costs were $2,585 ($118 medical for an estimated two office visits and $2,467 pharmacy).

"Dabigatran is attractive to patients because of its convenience and potential clinical benefit, but its convenience comes at a high cost," said Patrick Gleason, PharmD, director of clinical outcomes assessment at Prime. "Even when we consider the savings from fewer blood tests, there is a substantial increase in cost to treat patients with dabigatran compared to warfarin to prevent one stroke. Health plans should weigh the benefits and added costs when making decisions about where dabigatran should be placed on a formulary."

(1) Connolly SJ, Ezekowitz MD, Eikelboom J, et al. Dabigatran versus warfarin in patients with atrial fibrillation. N Engl J Med. 2009;361:1139-51

Prime Therapeutics is a pharmacy benefit management company dedicated to providing innovative, clinically-based, cost-effective pharmacy solutions for clients and members. Providing pharmacy benefit services nationwide to nearly 17 million covered lives, its client base includes Blue Cross and Blue Shield Plans, employer and union groups, and third-party administrators. Headquartered in St. Paul, Minnesota, Prime Therapeutics is collectively owned by 12 Blue Cross and Blue Shield Plans, subsidiaries or affiliates of those Plans. Learn more at www.primetherapeutics.com.


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