john karwoski, rph, mba jdj consulting, llc [email protected] 03.19.2014
TRANSCRIPT
Buying Group Yes or No, Group Name
Yes HPG
Yes Broadlane
Yes Med Assets
Yes HPG
Yes PSS
Yes Med Assets
Yes Novation/Med Assets
Yes Broadlane/Med Assets
Yes Med Assets
Yes Provista
Yes Provista
Ofirmev on Formulary Yes or No
Yes NoYesYesNoNoNoNoNoNoNo
Caldolor on Formulary Yes or No
Yes NoNoNoNoNoNoNoNoNoNo
Yes NoYesYesNoNoNoN/AN/AN/AN/A
NoNoNoNoNoNoNoNoNoNoNo
NoNoNoNoNoNoNoNoNoNoNo
Acquisition Costs:
Selected Drugs
Not Given$6.47$8.00$2.36$3.34$3.98$2.19$6.47$6.59
$32.37/Box 5$2.43
Not Given$1.05$4.00$0.36N/A
$0.72$0.42$1.08$0.55
11.08/Box25N/A
Not Given$0.30$1.40$1.42$0.49$0.53N/A
$1.42$2.80
22.53/Box 25100mg/ml $.90
Most drug cost comes directly off the bottom line
Drivers of Drug CostNew TechnologyNew pharmaceutical are more costly than
the older version – ARE THEY WORTH THE COST?
P and T must review the data to determine the relative effectiveness, relative toxicity, relative cost and relative benefit.
Some are worth it and some are not but you need to analyze
Drivers of Drug CostNew technologyContract complianceInefficient purchasingInefficient processingWastePackaging and unit sizePhysician preferenceAdverse events
Drug CostDrug Cost Components
AWP – what is cost?Contract with buying groupContract with wholesalerWastageOut datesOverchargesBilling ErrorsInventory Management
Inefficient PurchasingInjectionsZofran $10.44 vs. Ondansetron $0.76
Lanoxin $3.06 vs. digoxin inj $1.70
Zantac $ 3.91 vs. ranitidine $0.95
Lopresson $14.00 vs. metoprolol $1.43
Suprane Vendor 1 $193.24 vs. Suprane Vendor 2 $ 173.80
These are examples of findings from a recent JDJ review of ASC invoices
Drivers of Drug CostWholesaler overcharges – who
checksOutages- who is responsibleOutages – are you reimbursed for
themReverse distributor
Opportunities
Inventory Cost Wholesale contractBuying group contract
Management of Drug CostEfficient ManagementFormulary managementBuying GroupWholesaler contractUtilization of generics day 1Utilization of therapeutic interchangeCheck invoicesCharge backsReduce waste Inventory management
Drug costWho is managing your drug cost?
NoNoYesYesNoNoYesNoNoNoNo
NoNoNoNoNoNoYesNoNoNoNo
NoNoNoNoNoNo
Based on BehaviorNoNoYesNo
