PharmacoEconomics & Outcomes News 784, p25 - 12 Aug 2017 New Medicine Service cost effective in England The English community pharmacy New Medicine Service (NMS) for patients initiating new treatment for a chronic condition appears to be cost effective, according to findings of a study published in PharmacoEconomics. Markov models for diseases targeted by the NMS (hypertension, type 2 diabetes mellitus, chronic obstructive pulmonary disease, asthma and antiplatelet regimens) were used to evaluate the impact of the NMS on patient adherence and the cost effectiveness of the NMS compared with normal practice, from the perspective of NHS England over a lifetime time horizon. The models were populated with data from a 10-week randomised controlled trial in a trial in 504 patients. Overall, the NMS was estimated to gain a mean of 0.04 additional QALYs per patient compared with ** – ), and normal practice, at a reduced cost ( £139 therefore dominated (more effective and less costly) normal practice. Estimated incremental cost- effectiveness ratios ranged from –£44 614 per QALY gained for beclometasone to £1845 per QALY gained for tiotropium bromide. The NMS had a 96.7% probability of being cost effective compared with normal practice at a willingness-to-pay threshold of £20 000 per QALY gained. "Our study suggests that the NMS increased patient medicine adherence compared with normal practice, which translated into increased health gain at reduced overall cost," concluded the authors. "From inception of the NMS to the end of August 2016, 3.59 million consultations have been claimed for with over 820,000 in the year 2015/16. From the results of this economic evaluation, this suggests £75.4 million short-term savings to the NHS, £517.6 million long-term cost savings to the NHS and 179,500 QALYs gained," they said. * National Health Service ** 2014 British pounds Elliott RA, et al. Cost Effectiveness of Support for People Starting a New Medication for a Long-Term Condition Through Community Pharmacies: An Economic Evaluation of the New Medicine Service (NMS) Compared with Normal Practice. PharmacoEconomics : 3 Aug 2017. Available from: URL: http:// doi.org/10.1007/s40273-017-0554-9 1173-5503/17/0784-0001/$14.95 Adis © 2017 Springer International Publishing AG. All rights reserved PharmacoEconomics & Outcomes News 12 Aug 2017 No. 784
PharmacoEconomics & Outcomes News – Springer Journals
Published: Aug 12, 2017
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