TY - JOUR PY - 2022// TI - US budget impact analysis of esketamine nasal spray in major depressive disorder with acute suicidal ideation/behavior JO - Journal of comparative effectiveness research A1 - Voelker, Jennifer A1 - Sheehan, John J. A1 - Le, Hoa H. A1 - Toro-Diaz, Hector A1 - Li, Shujun A1 - Joshi, Kruti SP - 319 EP - 328 VL - 11 IS - 5 N2 - BACKGROUND: Esketamine nasal spray plus an oral antidepressant is approved in adults with major depressive disorder with acute suicidal ideation or behavior (MDSI).

METHODS: A budget impact analysis from a US payer perspective was performed with a hypothetical 1-million-member plan, using pharmacy and medical costs associated with adding esketamine plus an oral antidepressant to usual care.

RESULTS: Estimated annual total healthcare costs of managing patients with MDSI increased from $32,988,247 without esketamine to $34,161,188 in Year 3 with esketamine (primarily due to medical costs). The per-member-per-month incremental costs were $0.02, $0.06 and $0.10 in Years 1, 2 and 3, respectively.

CONCLUSION: Incorporation of esketamine results in a modest estimated impact on the annual budget over a 3-year time horizon.

Language: en

LA - en SN - 2042-6305 UR - http://dx.doi.org/10.2217/cer-2021-0226 ID - ref1 ER -