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. 2017 Jun;23(6):10.18553/jmcp.2017.23.6.666. doi: 10.18553/jmcp.2017.23.6.666

TABLE 2.

DMT Dosing and Acquisition Cost

DMT Dose, Frequency, Route Doses per Pack Packs per Year Wholesale Acquisition Price per Package (2015 U.S. $) Wholesale Acquisition Price per Year (2015 U.S. $)
Model 1: PEG
PEG24 125 μg
Every 14 days
Subcutaneous
2 13 5,034.00 65,442.00
IM IFN beta-1a25 30 μg
Once a week
Intramuscular
4 13 5,034.00 5,034.00
SC IFN beta-1b26 0.25 mg
Every other day
Subcutaneous
15 12.2 3,740.75 45,637.00
GA27 20 mg/mL
Every day
Subcutaneous
30 12.2 6,110.50 6,110.50
FIN28 0.5 mg
Every day
Oral
30 12.2 5,831.22 5,831.22
NAT29 300 mg
Every 4 weeks
Intravenous infusion
1 13 4,960.00 64,480.00
DMF30 SD: 120 mg
Twice daily for 7 days

MD: 240 mg
Twice daily after 7 days
Oral
SD: 14

MD: 60
12.9 SD: 1,274.00

MD: 5,460.00
66,248.00
Model 2: ALT
ALT31 Year 1:12 mg/day
5 consecutive days

Year 2:12 mg/day
3 consecutive days
Intravenous infusion
1 Year 1: 5
Year 2: 3
19,750.00 Year 1: 98,750.00
Year 2: 59,250.00
IFN beta-1a 44 μg32 44 μg
3 times per week
Subcutaneous
12 13 5,433.70 70,638.00

ALT = alemtuzumab; DMF = dimethyl fumarate; DMT = disease-modifying therapy; FIN = fingolimod; GA = glatiramer acetate; IFN = interferon; IM = intramuscular; MD = maintenance dose; NAT = natalizumab; PEG = peginterferon beta-1a; SC = subcutaneous; SD = starting dose.