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Q: Easy question: Find the Cost of a Chemotherapy ( Answered 5 out of 5 stars,   1 Comment )
Question  
Subject: Easy question: Find the Cost of a Chemotherapy
Category: Health > Medicine
Asked by: svannes-ga
List Price: $10.00
Posted: 04 Nov 2003 15:46 PST
Expires: 04 Dec 2003 15:46 PST
Question ID: 272651
I want to find out the average annual cost of Iressa (USD), a
chemotherapy marketed by AstraZeneca.  If the annualized data is
difficult to find, any data that you can find (cost for a month’s
supply, etc) would be useful.  If you identify per-month pricing, it
would be useful if you could provide me with some guidelines as to the
number of months that a patient takes the drug.  That would help me
come up with an annual number.  Feel free to ask questions if need be.
 $5 bonus for exceptional answer.
 Thanks.
Answer  
Subject: Re: Easy question: Find the Cost of a Chemotherapy
Answered By: bobbie7-ga on 04 Nov 2003 19:11 PST
Rated:5 out of 5 stars
 
Hi Svannes!


In May 2003, the Food and Drug Administration approved IRESSA, a drug
made by AstraZeneca for the treatment of Advanced Non-Small Cell Lung
Cancer. The recommended daily dose of IRESSA is one 250 mg tablet.


?AstraZeneca Pharmaceuticals announced today that the U.S. Food and
Drug Administration (FDA) has granted approval for IRESSA® (gefitinib)
for the treatment of advanced non?small-cell lung cancer (NSCLC).?

(..)

?IRESSA is administered as a once-a-day 250 mg pill. It works
differently than cytotoxic chemotherapy drugs commonly used for lung
cancer.?

(..)

?In the group receiving the recommended dose of 250 mg/day, 13.6% (95%
CI: 6.4-24.3) of the patients had their tumor shrink by at least 50%.
Higher doses did not give a better response and more side effects were
observed.?

The Patient Advocate Foundation
http://www.patientadvocate.org/index.php?p=240



DOSAGE AND ADMINISTRATION:

The recommended daily dose of IRESSA is one 250 mg tablet with or
without food. Higher doses do not give a better response and cause
increased toxicity.
 
You may read the copy of the US IRESSA product label here:
http://www.astrazeneca-us.com/pi/iressa.pdf



The average cost per year is $20,000.
Source: page 10
SG Cowen Securities Corporation Health Care Policy Conference
July 2003
http://www.wellpoint.com/pdf/supplemental/SG_Cowen.pdf


Iressa will cost more than $20,000 per year per patient.
Source: page 3
Drug Plan Management: Yesteryear, Today and Beyond
http://www.benefitscanada.com/images/esi/esi.pdf


I went to drugstore.com to check out the price of Iressa.

Iressa 
30 tablets 250MG 
Price : $1,708.98

Iressa 
90 tablets 250MG 
Price : $5,036.85

Drugstore.com
http://www.drugstore.com/pharmacy/prices/drugprice.asp?ndc=00310048230

Using the price from drugstore.com:

1,708.98 / 30 = $56.97 per tablet
56.97 * 365 days = $20,794 a year 

Or

5,036.85/90 = 55.97 per tablet
55.97 * 365 = $20,429 a year


However, according to the Department of Defense Pharmacoeconomic
Center?s New Drug Watch:
 
?A 30 day supply of gefitinib costs $1167.70 ($38.92/tablet). Data
from AstraZeneca?s Expanded Access Program indicate that 66% of
patients receiving gefitinib remain on therapy no longer than 3
months.?
http://www.pec.ha.osd.mil/Updates/0306web/Jun_03_Update_Page_7.htm



Search Criteria: 

Iressa per year per patient
Average cost OR price Iressa


I hope you find this helpful! If anything is unclear with my answer,
please ask for clarification.


Best Regards,
Bobbie7
svannes-ga rated this answer:5 out of 5 stars and gave an additional tip of: $5.00
an outstanding answer.  Thanks especially for the quality pricing and
annual usage data.  Get's the promised bonus. :)
Thanks bobbie7

Comments  
Subject: Re: Easy question: Find the Cost of a Chemotherapy
From: bobbie7-ga on 04 Nov 2003 20:10 PST
 
Thank you very much for the five star rating and tip!
--Bobbie7

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