ProHealth health Vitamin and Natural Supplement Store and Health
Home  |  Log In  |  My Account  |  View Cart  View Your ProHealth Vitamin and Supplement Shopping Cart
800-366-6056  |  Contact Us  |  Help
Facebook Google Plus
Fibromyalgia  Chronic Fatigue Syndrome & M.E.  Lyme Disease  Natural Wellness  Supplement News  Forums  Our Story
Store     Brands   |   A-Z Index   |   Best Sellers   |   New Products   |   Deals & Specials   |   Under $10   |   SmartSavings Club

Trending News

SURVEY: Cognitive Impairment II

Top 3 Nutrients to Detox the Liver and Soothe Digestion

Natural Bladder Control, Go Less and Live More

Vital Molecule Increases Cellular Energy and Improves Cognitive Function

Top Vitamin and Mineral Deficiencies — Are You at Risk?

How Pomegranate May Protect Against Cancer

Omega Fix for Obesity: How the Right Fats Fight Fat

Trimming the spare tire: Canola oil may cut belly fat

The Onion: Cancer Fighter and Food Preserver

Fighting Heartburn and Gerd Naturally – And Safely!

 
Print Page
Email Article

Pill Splitting Can Yield Cost Savings on Common Prescription Drugs

  [ 59 votes ]   [ Discuss This Article ]
www.ProHealth.com • September 11, 2002


Squeezed by the rising cost of prescription drugs, health plans and other health-care organizations are pursuing cost-saving strategies such as encouraging the use of generics, using narrowly tailored drug formularies and implementing multi-tiered co-payment systems.

Now, researchers at Stanford University Medical Center have confirmed that a less-common strategy ­ pill-splitting ­ could yield significant cost savings without compromising drug efficacy or safety. They emphasize that pill-splitting must be implemented with careful controls and begin with a doctor-patient conversation.

“When properly implemented, pill-splitting can be a safe, viable cost-saving strategy,” said Randall Stafford, MD, PhD, a researcher at the Stanford Center for Research in Disease Prevention and lead author of an article published in the August issue of the American Journal of Managed Care. “Physicians should consider using pill-splitting with selected medications and patients, and patients may want to bring it up with their doctors.”

Many prescription drugs are available at increased dosages for the same or similar costs as smaller dosages. When physicians prescribe half as many higher-strength pills and have the patient split them to achieve the desired dosage, the cost of certain medications can be reduced as much as 50 percent.

Using pharmacy claims data from a commercial managed-care plan in Massachusetts, Stafford and colleagues examined how often pill-splitting was used. They found the practice was relatively infrequent, accounting for annual savings of $6,200 in the health plan.

Researchers then used a systematic screening process to determine which medications were appropriate for pill-splitting. Starting with the 265 medications most commonly prescribed nationally and within the specific health plan, they narrowed the list in stages. First they eliminated drugs that came prepackaged, weren’t available in tablets or were available in only one dosage. They then eliminated medications in which pill-splitting yielded savings of less than 25 percent, based on the average wholesale price. Finally, they eliminated medications in which altering the drug’s physical properties could reduce its effectiveness ­ such as compounds that could become chemically unstable if split.

This screening process yielded a list of 11 medications commonly used by physicians in the health plan, which the researchers determined could be split safely and effectively with significant cost savings (see chart). The average potential savings for each drug, over varying dosages, ranged from 23 to 50 percent. A patient taking a 10-mg tablet of lisinopril daily, for example, would have annual medication costs of $340. By prescribing half the number of 20-mg tablets and splitting them, medication costs would drop to $180 annually.

“As a cost-saving approach, pill-splitting has significant potential,” said Stafford, who is an assistant professor of medicine at the Stanford School of Medicine. He calculated that if pill-splitting were fully implemented within the health plan he studied, the plan would save $259,500 annually.

The researchers emphasized that pill-splitting must be implemented with drug-specific and patient-specific criteria to ensure patient safety. Just as certain types of medications are unsuitable for pill-splitting ­ including extended-release medications and those with enteric coatings ­ certain patients may be unable to split tablets consistently and accurately. Such patients may include those with poor eyesight, loss of a limb, tremors, debilitating arthritis, dementia or psychosis. The researchers noted that results are best when the patient uses a pill-splitting device and is trained to use it.

Pill-splitting should be embarked upon only after a discussion between physician and patient, Stafford explained. “We’re not advocating this as a global solution. It needs to be conducted in the context of doctor-patient communication.” He noted that the list of 11 medications he identified for pill-splitting isn’t exhaustive and may differ depending on local practices and prices.

The researchers acknowledged that some physicians are reluctant to suggest pill-splitting because of concerns that patients may be unwilling or unable to split pills accurately. Stafford’s research suggests that pill-splitting is likely to be safe and effective with appropriate screening, but he said further research is needed on this question.

He noted that pill-splitting would help those who pay for prescription drugs out-of-pocket, including the uninsured and some Medicare beneficiaries. For them, pill-splitting “may make newer, more expensive medications available to people who might not otherwise afford them.”






Post a Comment

Featured Products From the ProHealth Store
Ultra EPA  - Fish Oil Vitamin D3 Extreme™ FibroSleep™


Article Comments



Be the first to comment on this article!

Post a Comment


 
Natural Pain Relief Supplements

Featured Products

Ultra EPA  - Fish Oil Ultra EPA - Fish Oil
Ultra concentrated source of essential fish oils
FibroSleep™ FibroSleep™
The All-in-One Natural Sleep Aid
Energy NADH™ 12.5mg Energy NADH™ 12.5mg
Improve Energy & Cognitive Function
Vitamin D3 Extreme™ Vitamin D3 Extreme™
50,000 IU Vitamin D3 - Prescription Strength
Optimized Curcumin Longvida® Optimized Curcumin Longvida®
Supports Cognition, Memory & Overall Health

Natural Remedies

A Hard-Working Molecule that May Help Ease Pain & Brighten Mood A Hard-Working Molecule that May Help Ease Pain & Brighten Mood
IBS, Crohn’s Disease, Colitis, and Other Digestive Disorders IBS, Crohn’s Disease, Colitis, and Other Digestive Disorders
Pioneer Scientists Uncover a Revolutionary Neuroprotective Supplement for Nerve Health Pioneer Scientists Uncover a Revolutionary Neuroprotective Supplement for Nerve Health
Block Acid Reflux to Prevent Esophageal Problems! Block Acid Reflux to Prevent Esophageal Problems!
Herbal Rescue for High Blood Sugar Herbal Rescue for High Blood Sugar

CONTACT US
ProHealth, Inc.
555 Maple Ave
Carpinteria, CA 93013
(800) 366-6056  |  Email

· Become a Wholesaler
· Vendor Inquiries
· Affiliate Program
SHOP WITH CONFIDENCE
Credit Card Processing
SUBSCRIBE TO OUR NEWSLETTERS
Get the latest news about Fibromyalgia, M.E/Chronic Fatigue Syndrome, Lyme Disease and Natural Wellness

CONNECT WITH US ProHealth on Facebook  ProHealth on Twitter  ProHealth on Pinterest  ProHealth on Google Plus

© 2016 ProHealth, Inc. All rights reserved. Pain Tracker App  |  Store  |  Customer Service  |  Guarantee  |  Privacy  |  Contact Us  |  Library  |  RSS  |  Site Map