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. 2009 May-Jun;28(3):827-34.
doi: 10.1377/hlthaff.28.3.827.

Drug company-sponsored patient assistance programs: a viable safety net?

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Drug company-sponsored patient assistance programs: a viable safety net?

Niteesh K Choudhry et al. Health Aff (Millwood). 2009 May-Jun.

Abstract

Drug company-sponsored patient assistance programs (PAPs) provide access to brand-name medications at little or no cost and have been advocated as a safety net for inadequately insured patients. Yet little is known about these programs. We surveyed drug company-sponsored PAPs and found much variability in their structures and application processes. Most cover one or two drugs. Only 4 percent disclosed how many patients they had directly helped, and half would not disclose their income eligibility criteria. A better understanding of PAPs might clarify their role in improving access to medications, the adequacy of existing public programs, and their impact on cost-effective medication use.

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Figures

EXHIBIT 1
EXHIBIT 1. Number Of Individual Drugs Covered By Drug Company–Sponsored Patient Assistance Programs (PAPs), 2007
EXHIBIT 3
EXHIBIT 3
Distribution Of Copayments Among Drug Company–Sponsored Patient Assistance Programs (PAPs) That Require Payments, 2007
EXHIBIT 4
EXHIBIT 4
Income Eligibility Criteria For Drug Company–Sponsored Patient Assistance Programs (PAPs), 2007
EXHIBIT 5
EXHIBIT 5
Distribution Of Drug Company–Sponsored Patient Assistance Programs (PAPs) That Allow Patients To Have Other Coverage, And Circumstances Under Which This Can Occur, 2007

References

    1. Lester W. The Associated Press/Ipsos Poll: Almost a Third of Americans Say Paying for Drugs Is a Problem in Their Families. Feb 252004. [accessed December 21 2007]. http://www.ipsos-na.com/news/pressrelease.cfm?id=2064#.
    2. Tseng CW, et al. Elderly Patients’ Preferences and Experiences with Providers in Managing Their Drug Costs. Journal of the American Geriatrics Society. 2007;5512:1974–1980. - PubMed
    1. Steinman MA, Sands LP, Covinsky KE. Self-Restriction of Medications Due to Cost in Seniors without Prescription Coverage. Journal of General Internal Medicine. 2001;16(12):793–799. - PMC - PubMed
    1. Choudhry NK, et al. Should Patients Receive Secondary Prevention Medications for Free after a Myocardial Infarction? An Economic Analysis. Health Affairs. 2007;26(1):186–194. - PubMed
    2. Choudhry NK, et al. Cost-Effectiveness of Providing Full Drug Coverage to Increase Medication Adherence in Post–Myocardial Infarction Medicare Beneficiaries. Circulation. 2008;117(10):1261–1268. - PMC - PubMed
    3. Tamblyn R, et al. Adverse Events Associated with Prescription Drug Cost-Sharing among Poor and Elderly Persons. Journal of the American Medical Association. 2001;285(4):421–429. - PubMed
    1. USA Today/Kaiser Family Foundation/Harvard School of Public Health. Health Care Costs Survey. Aug2005. [accessed 17 February 2009]. http://www.kff.org/newsmedia/upload/7371.pdf.
    1. Cubanski J, Neuman P. Status Report on Medicare Part D Enrollment in 2006: Analysis of Plan-Specific Market Share and Coverage. Health Affairs. 2007;26(1):w1–w12. (published online 21 November 2006; 10.1377/hlthaff.26.1.w1) - PubMed
    2. Goldman DP, Joyce GF, Zheng Y. Prescription Drug Cost Sharing: Associations with Medication and Medical Utilization and Spending and Health. Journal of the American Medical Association. 2007;298(1):61–69. - PMC - PubMed
    3. Hsu J, et al. Unintended Consequences of Caps on Medicare Drug Benefits. New England Journal of Medicine. 2006;354(22):2349–2359. - PubMed

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