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. 2020 Sep 24;54:94. doi: 10.11606/s1518-8787.2020054001895

Table 1. Total and annual costs (US$) broken down by pharmacist intervention adhered to at moments of conciliation and follow-up by the clinical pharmacy service.

Intervention category Cost without CP service Cost with CP service CP service marginal cost (SD) Avoided costs for the PHS (SD)
Medication introduction 0 518 518 26,481
Medication withdrawal 269 0 −269 14,789
Dose increase 243 532 290 10,132
Dose reduction 1,962 1,393 −569 7,695
Medication replacement 27 76 48 4,568
Administration time adjustment 0 0 0 8,449
Administration route change 32 21 −11 12
Dosage form change 353 12 −341 753
Pharmaceutical form concentration change 30 25 −5 178
Infusion rate change 9 10 0.6 513
Examination requirement 0 886 886 3,038
Other 0 0 −0.6 0.6
Total 2,927 3,473 547 76,609
Cost per year 976 1,158 182±32 25,536±4,923

CP: clinical pharmacy; PHS: Public Health System; Marginal cost: (cost with clinical pharmacy service by intervention – cost without clinical pharmacy service by intervention); SD: standard deviation.

Note: Negative results in the marginal cost mean resource saving for the hospital.