Table 2.

Ways of Discussing Cost Across Different Sacubitril/Valsartan Decisional Outcomes^*

	Example
Isolated discussion of insurance coverage or approval process (n=64)	Doctor: “Okay. Now, we talked about this new medication called Entresto? That was very expensive. So…your insurance is actually quite good. It's Blue Shield?” Patient: “No, I got a new one” Doctor: “Oh…What is it?” Patient: “HealthNet…I have a silver plan” Doctor: “Okay…I'll try to get this drug covered”
Out‐of‐pocket cost discussion (n=5)	Doctor: “It's probably a couple of hundred dollars a month if you had to pay at cost, but your insurance should cover it” Patient: “Yeah”
Affordability discussion (n=28)	Doctor: “If you do very well, maybe, but price it out. If you think it's something you could afford, Entresto…check with the pharmacy what it's going to cost you before I give it to you”

^*Three transcripts were excluded because of the nonspecific nature of cost discussion.