Costs of Common Neurologic Meds Continue to Rise

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Costs of Common Neurologic Meds Continue to Rise
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Out-of-pocket costs for brand-name medications for neurological disorders increased significantly over a 9-year period, with the largest hikes in MS drugs, new research shows.

In the United States, out-of-pocket costs of brand-name medications for neurological disorders increased significantly from 2012 to 2021, with the largest hikes in multiple sclerosis drugs, new analysis shows.

“What we’re seeing is an increased and disproportionate burden of these costs to the patients, but not to the system at large,” study author Amanda Gusovsky, PhD, MPH, of Ohio State University in Columbus, toldShe added that OOP costs for MS drugs have steadily increased over the past 20 years, suggesting that current efforts to control these rising costs for MS medications have not been very effective.

OOP costs for the PN medication duloxetine dropped by 80% from an average of $231 in 2012 to $46 in 2021 after the generic version was introduced in 2013. Similarly, OOP costs for pregabalin decreased by 73% — from $204 in 2012 to $56 in 2020 after the introduction of the generic version in 2019. The investigators noted that overall trends in total costs largely mirrored those of OOP costs, with few exceptions. Total costs for MS medications rose by an average of 80% over the study period, though they began to level off for some drugs toward 2021. Glatiramer saw a moderate decline in total costs from 2017 to 2021, while rasagiline peaked in 2016 at $6064 and subsequently decreased to $1798 by 2021.Several drug cost–reduction strategies are already underway, said Bruce H.

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