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. 2020 Sep 11;15(9):e0238843. doi: 10.1371/journal.pone.0238843

Table 3. Comparison of costs per year between treatment-resistant depression and non–treatment-resistant major depressive disorder patients (US$)a.

Variable Treatment-resistant depression Non–treatment-resistant major depressive disorder Treatment-resistant depression vs non–treatment-resistant major depressive disorder
Adjusted mean difference 95% CI
Cost to payers
Medical cost in Year 1 9075 6125 2950 2051 3978
Medical cost in Year 2 8393 6621 1772 632 2958
Pharmacy cost in Year 1 2043 1507 535 300 789
Pharmacy cost in Year 2 2027 1664 362 58 720
Total cost to payers in Year 1 11014 7585 3430 2438 4478
Total cost to payers in Year 2 10175 7984 2191 1031 3453
Cost to patients
Medical cost in Year 1 1373 1019 444 347 556
Medical cost in Year 2 1207 1022 245 150 344
Prescription cost in Year 1 406 318 88 68 109
Prescription cost in Year 2 350 301 49 30 70
Total cost to patients in Year 1  1767 1323 354 260 457
Total cost to patients in Year 2  1499 1254 184 91 285
Total healthcare cost
Total healthcare cost in Year 1 12726 8881 3846 2855 4928
Total healthcare cost in Year 2 11591 9179 2412 1217 3713

CI, confidence interval.

aMedical costs to payers included claims for outpatient visits, ED visits, and hospitalizations; pharmacy costs to payers were the sum of pharmacy claims; and total costs to payers were the sum of medical costs and pharmacy costs to payers. Medical costs to patients were defined as the sum of deductibles, copayments, and coinsurance for all medical services; prescription costs to patients were defined as the sum of deductibles, copayments, and coinsurance for all prescription drugs; and total costs to patients were the sum of medical costs and prescription costs to patients. Total healthcare costs were defined as the sum of costs to payers and patients.