D.B.A.  Baker College (Michigan), 2019.
Subject categories:  Pharmaceutical sciences; Marketing

Affordability of prescription medications and awareness of cost savings programs
141 pages. UMI #: 2287050398
Citation, Abstract & Full text in ProQuest Dissertations & Theses Database

There is a problem in today's healthcare industry involving affordability of branded prescription medications and the out-of-pocket costs commercially insured patients with chronic diseases are incurring. The purpose of this qualitative case study was to explore the cost issues patients with commercial prescription insurance have in affording their branded medications. The theoretical framework was based on the economic theory of supply and demand, as well as the theory of planned behavior and the health belief model. Research questions addressed how cost concerns influence patient decisions regarding managing their medications, how patients and physicians communicate regarding cost concerns, what role pharmacists play in helping patients address cost burdens, and how awareness and utilization of pharmaceutical sponsored copay assistance programs can be enhanced. Ten patients and 10 pharmacists were interviewed. Results showed when patients cannot afford their medications, they may self-manage their diseases or search for cost savings opportunities, such as copay savings programs. Findings also indicated patients and physicians are not having regular conversations regarding patients' cost concerns, and patients have varying opinions as to what role pharmacists can play in addressing their cost concerns. The results of this study have the potential to increase patient adherence and health outcomes, as well as impact various sectors of the healthcare industry including pharmacists, physicians, and pharmaceutical companies.

• Bernice Folz, Ph.D., Chair
• Susan Cathcart, Ph.D.
• Peggy Houghton, Ph.D.