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Whalatane

09/26/21 2:18 PM

#355632 RE: CTW1 #355618

CT. Great to get the insights from a cardiac nurse
Statins are generic . My generic Crestor costs Kaiser around $7 for 3 months ( I think ) …they haven’t charge me for it at all so far this yr ….as far as I can tell
I’m on Medicare

ICER did a cost / benefit analysis and V is very cost effective for secondary prevention CAD patients in the US and probably also in the wealthier EU countries like Germany … but probably not in Poland ( as example )

PCI’s , etc … the need for and cost of … are part of the cost / benefit analysis
The WAC ( wholesale price ) for Vascepa is now over $140 a month I think …, higher in the EU
So if a PCI with one stent costs for example $15,000 in the US … is it cost effective to prescribe for primary prevention ?
That’s a trick question … the data we have from R-IT is for mainly diabetic and secondary prevention patients so I don’t think we have data on solely non diabetic primary prevention ….. if we do , please link
Kiwi
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Whalatane

09/26/21 2:37 PM

#355633 RE: CTW1 #355618

CT. as a follow up ..the costs of a PCI ...without a stent ...can vary widely throughout the US

How much does a heart catheterization cost in the US?
Image result for What does a PCI with one stent cost in the US
Cardiac catheterization costs vary. The cost of a cardiac catheterization will depend on the facility, your insurance, and the nature of the procedures the doctor does during the catheterization. A general range in the United States, without stent placement, is between $4,000 and $6,000, but it can vary widely.



So for primary prevention ...how much would the insurer have to pay ...whole sale for Vascepa ( $140 a mth ) ...for how long to avoid the $4,00-$6,000 for a basic angiogram ? Add maybe $3,000 per stent deployed

I know ...trick question .....

Kiwi