Nearly 20% of US patients with chronic obstructive pulmonary disease skip or delay doses due to high monthly out-of-pocket costs for medication.
For patients with chronic obstructive pulmonary disease , the Global Initiative on Obstructive Lung Disease recommends long-term term pharmacologic and nonpharmacologic therapies based on each patient's symptoms and disease severity.
Dr McCormack, who is also a national spokesperson for The American Lung Association, said that she shows new patients the photos of all available inhalers and asks which ones they have and how they take them. Xin Wen, MD, from the Jamusi University School of Public Health, and colleagues looked at data on a representative sample of US adults who participated in the US National Health Interview Survey from 2013 through 2020.
A multivariable logistic regression analysis showed that those who were most likely to be nonadherent for financial reasons were patients younger than 65 years, women, persons with low family income, those who lacked health insurance, and patients with multiple comorbidities, the authors found.
In addition, the Medicare Part D prescription coverage gap, commonly known as the"donut hole," requires patients to pay a percentage of drug costs above a certain limit until a yearly out-of-pocket limit is reached, after which the plan will again pick up most of the costs. "When you investigate a little bit more, that's where things become a bit more clear, and the patient may say 'yeah, I stopped using this inhaler because it was costing me 200 bucks a month and I'm already on other medications," he said.
COPD - Chronic Obstructive Pulmonary Disease COPD Chronic Obstructive Lung Disease COAD - Chronic Obstructive Airway Disease COAD Medicare Inhaler Lung Practice Management Revenue Health Insurance Drug Costs Drug Cost Medication Costs Drug Price Drug Pricing Medication Price Medication Pricing Insurance Social Determinants Of Health SDOH
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