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Table 1 Model outcomes for several compliance losses with generic substitution

From: A pharmaco-economic analysis of patients with schizophrenia switching to generic risperidone involving a possible compliance loss

 

Branded Risp.

Generic Risp. 0%

Generic Risp. 2.5%

Generic Risp. 5%

Generic Risp. 7.5%

Generic Risp. 10%

# Relapses

3.98

3.98

3.99

4.01

4.02

4.04

Total relapse time (yrs)

2.05

2.05

2.06

2.07

2.07

2.08

Average PANSS score

62.9

62.9

63.0

63.2

63.4

63.5

Time on risperidone (yrs)

1.16

1.16

1.14

1.13

1.12

1.10

% on risperidone after 1 yr

60.7%

60.7%

59.3%

57.9%

56.5%

55.1%

Total QALYs (disc)

3.622

3.622

3.618

3.615

3.611

3.607

Costs (discounted by component)

      

Home (pp)

€0

€0

€0

€0

€0

€0

Home (ia)

€254

€254

€255

€256

€257

€258

Sheltered Living

€7,120

€7,124

€7,136

€7,145

€7,159

€7,182

Day Care

€35,188

€35,229

€35,329

€35,479

€35,654

€35,758

Hospital

€37,124

€37,088

€37,440

€37,700

€37,971

€38,267

Long-term care institution

€958

€953

€966

€965

€972

€973

Psych Visits

€952

€952

€954

€955

€957

€959

Drug Costs

€8,012

€6,778

€6,772

€6,765

€6,760

€6,755

Total Discounted Costs

€89,607

€88,378

€88,850

€89,265

€89,730

€90,152

ΔE

 

0

0.004

0.007

0.011

0.015

ΔC

 

€1,230

€757

€343

-€123

-€544

ICUR

 

-

€196,243

€46,032

dominant

dominant

  1. PANSS = positive and negative syndrome scale, QALYs = quality adjusted life years, ΔE = incremental effects of branded risperidone vs. generic risperidone, ΔC = incremental costs of branded risperidone vs. generic risperidone, ICUR = incremental cost utility ratio of branded risperidone vs. generic risperidone.