Table 3.
Cost driver | Expense | Cost (€) | Reference |
---|---|---|---|
Drug acquisition | Cladribine 10 mg, 1 tbl | 2433.69 | FMT 06/19 [34] |
Cladribine 10 mg, 4 tbl | 9624.82 | FMT 06/19 [34] | |
Cladribine 10 mg, 6 tbl | 14,418.91 | FMT 06/19 [34] | |
Fingolimod 0.5 mg 7tbl | 427.62 | FMT 06/19 [34] | |
Fingolimod 0.5 mg 28tbl | 1612.99 | FMT 06/19 [34] | |
Natalizumab 300 mg | 2250.00 | FMT 06/19 [34] | |
Drug administration | Natalizumab NaCl for infusion | 0.87 | FMT 06/19 [34] |
Natalizumab infusion administratione | 309.82 | [38] indexed to 2018 valuea | |
Monitoring | Electrocardiogram (EKG), 6 hf | 587.00 | [30] |
Full blood count, FBC | 4.60 | [35] | |
JC virus antibodies | 70.00 | [35] | |
Latent infections | 120.53 | [35] | |
Magnetic resonance imaging (MRI) of head and spinee | 320.00 | [30] | |
Ophthalmologic examinatione | 215.60 | [36] indexed to 2018 valuea | |
Transaminases, bilirubin | 4.00 | [35] | |
Varicella zoster (VZ) antibodies | 20.00 | [35] | |
VZ vaccinationd | 203.68 | [36] indexed to 2018 valuea/FMT 6/2019 [34] | |
Test takingd | 5.52 | [37] indexed to 2018 valuea | |
Adverse event | Abnormal laboratory findings related to liver functiond | 96.26b | [36] indexed to 2018 valuea, VSSHP [35] |
Lymphopeniad | 226.83c | [36] indexed to 2018 valuea, [35] | |
Travelling | Primary care | 7.40 | [37] indexed to 2018 valuea |
Secondary care | 37.80 | [37] indexed to 2018 valuea | |
Productivity loss | Primary care (1/4 day) | 64.24 | [42] indexed to 2018 valuea |
Secondary care (half a day) | 128.48 | [42] indexed to 2018 valuea | |
Full day | 256.96 | [42] indexed to 2018 valuea |
FMT Finnish Medicines Tariff
aOfficial Statistics of Finland [41]
bBlood test, specialist paper consultation, specialist telephone consultation, 5% of patients an additional specialist visit and upper stomach ultrasound
cLymphocytes differential count, specialist paper consultation, specialist telephone consultation
dProductivity loss and travelling cost for this procedure estimated to be ¼ day
eProductivity loss and travelling cost for this procedure estimated to be ½ day
fProductivity loss and travelling cost for this procedure estimated to be full day