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An Economic Comparison of Risperidone and Olanzapine Use within an Integrated Managed Mental Health Program
Authors:Michael Johnsrud  M Lynn Crismon  Ann Thompson  Amy Grogg
Institution:(1) Center for Pharmacoeconomic Studies, The University of Texas at Austin, Austin, TX, USA;(2) Regional Outcomes Research, Janssen Pharmaceutica, Titusville, NJ, USA;(3) Outcomes Research and Biostatistics, Janssen Pharmaceutica, Titusville, NJ, USA;(4) Center for Pharmacoeconomic Studies, The University of Texas at Austin, 1, University Station, MC #A 1910, Austin, 78712, TX, USA
Abstract:This study assessed differences in total mental health care costs for 1 year following initiation of risperidone or olanzapine in individuals within NorthSTAR, an integrated managed mental health pilot project. A retrospective database analysis of individuals with schizophrenia or schizoaffective disorder and newly started on either agent was conducted. Antipsychotic medication costs were significantly lower for individuals prescribed risperidone than olanzapine ($1763 versus $2582; p<0.001). Individuals prescribed risperidone had lower (but not significant) expenditures for mental health services ($4714 versus $5077; p=0.792), as well as total mental health care costs ($7407 versus $9011; p=0.255).
Keywords:mental health costs  olanzapine  risperidone  schizophrenia
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