Borrow it
Coverart for item
The Resource Variability in pricing of generic antipsychotic medications used in the treatment of schizophrenia at community pharmacies in the Kansas City Metropolitan Area, by Carrie Kriz

Variability in pricing of generic antipsychotic medications used in the treatment of schizophrenia at community pharmacies in the Kansas City Metropolitan Area, by Carrie Kriz

Creator
Author
Contributor
Summary
Studies examining variability in generic medication pricing at community pharmacies have revealed conflicting results. No studies have examined variability in costs of antipsychotic medications or if these costs vary across types of pharmacies. Specifically, comparative drug pricing for generic formulations of five commonly used second-generation antipsychotic medications (risperidone, olanzapine, quetiapine, ziprasidone, and aripiprazole) recommended for first line therapy in the treatment for schizophrenia is lacking. Pharmacy-level variability in retail cash pricing for five generically available second-generation and one first-generation antipsychotic medications at therapeutic doses for the treatment of schizophrenia in the Kansas City metropolitan area was examined. Two hundred and sixty-five pharmacies were queried by telephone between April 25 and May 25, 2017 for the cash price of a 30-day supply of haloperidol 10 milligrams (30 tablets), risperidone 4mg (30 tablets), olanzapine 20mg (30 tablets), quetiapine 300mg (60 tablets), ziprasidone 80mg (60 tablets), and aripiprazole 20mg (30 tablets). Each pharmacy was then classified as being either a chain (n=182), grocery store (n= 53), or independent pharmacy (n= 30). Retail cash prices varied for all antipsychotic medications, with significant differences in price by pharmacy type. Price variation across all pharmacy types for a 30 day supply was the least for haloperidol (range $20.00 - $102.99) and the greatest for aripiprazole (range $29.99 - $1,345.00). Pairwise comparisons showed chain pharmacies had higher prices compared with independent pharmacies (p <.001) for all drugs except haloperidol (p =.49). Overall, chain pharmacies had the highest prices, with prices at grocery store pharmacies averaging $180.00 lower than chain and independent pharmacies $414.00 lower than chain pharmacies. This is the first report on the pharmacy-level variability in the costs of generic antipsychotic treatment options for schizophrenia. There are appreciable differences in the costs of antipsychotic medications and understanding variability in pricing for these medications may be valuable for providers serving uninsured patients. Further analyses will examine the contribution of geographic-level socio-demographic factors to these differences
Language
eng
Work
Publication
Extent
1 online resource (28 pages)
Note
  • "A thesis in Bioinformatics."
  • Advisor: Lakshmi Venkitachalam
  • Vita
Contents
  • Introduction
  • Review of literature
  • Methodology
  • Results
  • Discussion
Instance
Label
Variability in pricing of generic antipsychotic medications used in the treatment of schizophrenia at community pharmacies in the Kansas City Metropolitan Area
Title
Variability in pricing of generic antipsychotic medications used in the treatment of schizophrenia at community pharmacies in the Kansas City Metropolitan Area
Statement of responsibility
by Carrie Kriz
Creator
Contributor
Author
Degree supervisor
Subject
Genre
Language
eng
Summary
Studies examining variability in generic medication pricing at community pharmacies have revealed conflicting results. No studies have examined variability in costs of antipsychotic medications or if these costs vary across types of pharmacies. Specifically, comparative drug pricing for generic formulations of five commonly used second-generation antipsychotic medications (risperidone, olanzapine, quetiapine, ziprasidone, and aripiprazole) recommended for first line therapy in the treatment for schizophrenia is lacking. Pharmacy-level variability in retail cash pricing for five generically available second-generation and one first-generation antipsychotic medications at therapeutic doses for the treatment of schizophrenia in the Kansas City metropolitan area was examined. Two hundred and sixty-five pharmacies were queried by telephone between April 25 and May 25, 2017 for the cash price of a 30-day supply of haloperidol 10 milligrams (30 tablets), risperidone 4mg (30 tablets), olanzapine 20mg (30 tablets), quetiapine 300mg (60 tablets), ziprasidone 80mg (60 tablets), and aripiprazole 20mg (30 tablets). Each pharmacy was then classified as being either a chain (n=182), grocery store (n= 53), or independent pharmacy (n= 30). Retail cash prices varied for all antipsychotic medications, with significant differences in price by pharmacy type. Price variation across all pharmacy types for a 30 day supply was the least for haloperidol (range $20.00 - $102.99) and the greatest for aripiprazole (range $29.99 - $1,345.00). Pairwise comparisons showed chain pharmacies had higher prices compared with independent pharmacies (p <.001) for all drugs except haloperidol (p =.49). Overall, chain pharmacies had the highest prices, with prices at grocery store pharmacies averaging $180.00 lower than chain and independent pharmacies $414.00 lower than chain pharmacies. This is the first report on the pharmacy-level variability in the costs of generic antipsychotic treatment options for schizophrenia. There are appreciable differences in the costs of antipsychotic medications and understanding variability in pricing for these medications may be valuable for providers serving uninsured patients. Further analyses will examine the contribution of geographic-level socio-demographic factors to these differences
Cataloging source
UMK
http://library.link/vocab/creatorName
Kriz, Carrie
Degree
M.S
Dissertation note
(School of Medicine).
Dissertation year
2018.
Granting institution
University of Missouri-Kansas City,
Illustrations
illustrations
Index
no index present
Literary form
non fiction
Nature of contents
  • dictionaries
  • bibliography
  • theses
http://library.link/vocab/relatedWorkOrContributorName
Venkitachalam, Lakshmi
http://library.link/vocab/subjectName
  • Generic drugs
  • Antipsychotic drugs
  • Schizophrenia
  • Drugs, Generic
  • Antipsychotic Agents
  • Schizophrenia
  • Pharmaceutical Preparations
Label
Variability in pricing of generic antipsychotic medications used in the treatment of schizophrenia at community pharmacies in the Kansas City Metropolitan Area, by Carrie Kriz
Instantiates
Publication
Copyright
Note
  • "A thesis in Bioinformatics."
  • Advisor: Lakshmi Venkitachalam
  • Vita
Antecedent source
not applicable
Bibliography note
Includes bibliographical references (pages 24-27)
Carrier category
online resource
Carrier category code
  • cr
Carrier MARC source
rdacarrier
Color
black and white
Content category
text
Content type code
  • txt
Content type MARC source
rdacontent
Contents
Introduction -- Review of literature -- Methodology -- Results -- Discussion
Control code
1104538899
Dimensions
unknown
Extent
1 online resource (28 pages)
File format
one file format
Form of item
online
Level of compression
mixed
Media category
computer
Media MARC source
rdamedia
Media type code
  • c
Other physical details
illustrations.
Quality assurance targets
not applicable
Specific material designation
remote
System control number
(OCoLC)1104538899
System details
  • The full text of the thesis is available as an Adobe Acrobat .pdf file; Adobe Acrobat Reader required to view the file
  • Mode of access: World Wide Web
Label
Variability in pricing of generic antipsychotic medications used in the treatment of schizophrenia at community pharmacies in the Kansas City Metropolitan Area, by Carrie Kriz
Publication
Copyright
Note
  • "A thesis in Bioinformatics."
  • Advisor: Lakshmi Venkitachalam
  • Vita
Antecedent source
not applicable
Bibliography note
Includes bibliographical references (pages 24-27)
Carrier category
online resource
Carrier category code
  • cr
Carrier MARC source
rdacarrier
Color
black and white
Content category
text
Content type code
  • txt
Content type MARC source
rdacontent
Contents
Introduction -- Review of literature -- Methodology -- Results -- Discussion
Control code
1104538899
Dimensions
unknown
Extent
1 online resource (28 pages)
File format
one file format
Form of item
online
Level of compression
mixed
Media category
computer
Media MARC source
rdamedia
Media type code
  • c
Other physical details
illustrations.
Quality assurance targets
not applicable
Specific material designation
remote
System control number
(OCoLC)1104538899
System details
  • The full text of the thesis is available as an Adobe Acrobat .pdf file; Adobe Acrobat Reader required to view the file
  • Mode of access: World Wide Web

Subject

Genre

Library Locations

  • Health Sciences LibraryBorrow it
    2411 Holmes St, Kansas City, Kansas City, MO, 64108, US
    39.083418 -94.575323
  • LaBudde Special CollectionsBorrow it
    800 E 51st St, Kansas City, MO, 64110, US
    39.034642 -94.576835
  • Leon E. Bloch Law LibraryBorrow it
    500 E. 52nd Street, Kansas City, MO, 64110, US
    39.032488 -94.581967
  • Marr Sound ArchivesBorrow it
    800 E 51st St, Kansas City, MO, 64110, US
    39.034642 -94.576835
  • Miller Nichols LibraryBorrow it
    800 E 51st St, Kansas City, MO, 64110, US
    39.035061 -94.576518
  • UMKCBorrow it
    800 E 51st St, Kansas City, MO, 64110, US
    39.035061 -94.576518
  • UMKCBorrow it
    800 E 51st St, Kansas City, MO, 64110, US

Library Links

Structured data from the Bibframe namespace is licensed under the Creative Commons Attribution 4.0 International License by University of Missouri-Kansas City Libraries. Additional terms may apply to data associated with third party namespaces.
Processing Feedback ...