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Table 5 Changes in Utilization and Cost Attributable to Mail Order. Drugs for Chronic Use and Dual-Eligible

From: Drug utilization and cost in a Medicaid population: A simulation study of community vs. mail order pharmacy

  Drugs for Chronic Use (n = 304,102) Dual-Eligible (n = 199,902) Dual-Eligible Using Drugs for Chronic Use (n = 96,868)
  Mean Std Dev Mean Std Dev Mean Std Dev
Day supply in community pharmacy 687.6 523.2 758.8 527.8 807.0 526.7
Estimated day supply in mail order pharmacy 722.4 525.2 794.2 530.1 841.8 528.7
Difference 34.8   35.4   34.8  
% Difference 5.1%   4.7%   4.3%  
Drug product cost in community pharmacy $1,103.65 $2,918.83 $1,563.01 $7,114.38 $1,219.59 $2,139.52
Estimated drug product cost in mail order pharmacy $1,157.30 $3,039.04 $1,635.63 $7,531.51 $1,272.62 $2,226.44
Mail order cost reduction required to become cost neutral $53.65   $72.62   $53.03  
% Difference 4.9%   4.7%   4.4%  
  1. Note: Utilization and costs after the first fill