The price of Mifepristone tablets and its affordability
Mifepristone and misoprostol, or misoprostol alone, are included in the expenses of medical abortion regimens. Based on published methods and effectiveness data, we developed algorithms to analyze relative differences in Mifepristone prices between the United States and India and a hypothetical developing nation in the developing world. In the United States, the expenses of follow-up visits and suction aspiration treatments were examined across a variety of price points.
The indirect expenses in the United States were calculated based on earnings data. It was determined that indirect costs in India and the hypothetical poor nation were based on price discrepancies between the United States and India for mifepristone. The cost of a 200-mg pill of mifepristone in the United States is US$83.33; however, the real additional cost of utilizing a mifepristone regimen, as compared with a misoprostol-only regimen, is only US$22 to US$32.
The cost and effectiveness
The cost of a mifepristone regimen is expected to be less costly than the Mifepristone prices -only regimen in a hypothetical impoverished nation. The lower cost or only marginally higher cost of medical abortion regimens utilizing mifepristone and misoprostol, as a result of their improved effectiveness and the requirement for fewer follow-up examinations, makes them less costly or only marginally more expensive than those using misoprostol alone.
From a societal viewpoint, expenses included the time spent by patients getting treatment, the time spent by unpaid carers, transportation costs, lost productivity, and other expenditures incurred outside of the official health care sector. The lost wages approach was used to evaluate the costs associated with time, lost productivity, and absenteeism in the workplace.
The information on resource utilization was gathered prospectively by case report forms completed during the planned study visits or telephone calls made on study days 3, 8, and 30, as well as through an electronic medical record examination of the patients’ medical records. for example, uterine aspiration), adverse clinical events, and other healthcare interventions linked to EPL (for example, antibiotics) (eg, medications used for pain and symptom management).
The time spent by patients and caregivers, as well as days missed from school and work, were all recorded in our prospective data collection. We also recorded patient costs incurred during the 30-day study period, which included transportation, medications, copayments, and other purchased comfort measures such as heating pads and sanitary supplies. To compute the overall costs for each participant, unit cost estimates were used to get the total expenses for each participant.