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. Author manuscript; available in PMC: 2014 Aug 26.
Published in final edited form as: J Med Econ. 2013 Mar 19;16(5):614–622. doi: 10.3111/13696998.2012.760159

Table 2.

Medical costs and drug costs.

LEN/DEX BORT
Number of office visits 16 35
Rate (CPT 99212: office/outpatient
 visits)
$41.45 $41.45
Evaluation and management
cost per patient
$663.20 $1450.75
Number of administrations 0 35
Rate (CPT 96409: chemo IV push
 single drug)
$112.80 $112.80
Administration cost per patient $0.00 $3948.00
Percentage of patients hydrated 0% 25%
Rate (CPT 96360: hydration IV
 infusion init)
$57.08 $57.08
Hydration cost per patient $0.00 $499.45
Number of CBCs 17 52
Rate (CPT 85025: complete CBC w/
 auto diff WBC)
$43.00 $43.00
Lab tests cost per patient $731.00 $2236.00
Herpes zoster (for Velcade
 patients)a
NA $21.78
DVT/PE (for Revlimid patients)b $1713.05 NA
Prophylaxis costs per patient $1713.05 $21.78
Total medical cost per patient $3064.25 $8155.98
Treatment period (weeks) 52 27
Daily medical cost per patient $8.42 $43.15
Drug cost per treatment day $359.67 $1450.75
Treatment days/cycle days 21/28 4/21 then 4/35
Daily drug cost until progression $270 $274
a

Assumes patients receive prophylaxis with generic acyclovir 400 mg/day. Cost based on WAC cost of $0.17 per 400 mg tablet×7 days per week for treatment with BORT44,45.

b

Costs based on an enoxaparin AWP of $32.47 per 40 mg syringe and aspirin at $0.01 per tablet45.

The herpes zoster prophylaxis costs may be conservative and may not reflect more extensive regimens provided to certain patients17,26,36,45,46. DVT/PE, deep vein thrombosis/pulmonary embolism; LEN, lenalidomide; DEX, dexamethasone; CBC, complete blood cell count.