Table 16:
Drug Acquisition Costs per 21-Day Cycle, Standard Dosing
Drug | Dosing | Drug Costs | Reference | |||
---|---|---|---|---|---|---|
Starting Dose | Dose per Day or Cyclea | Cost per mg | Cost per Day | Cost per Cycle | ||
Capecitabine | Low: 825 mg/m2 2× daily for 14 d High: 1,250 mg/m2 2× daily for 14 d |
3,135 mg/d 4,750 mg/d |
$1.5250 per pill (500 mg); $0.4575 per pill (150 mg) | $10.38b $16.47b |
$145.32b $230.58b Average: $187.95b |
Henricks et al, 201881; OH (CCO); ODB Formulary98 |
5-FU | Low: IV bolus, 500–600 mg/m2 on days 1 and 8 High: IV infusion, 200 mg/m2 on days 1–21 |
2,090 mg/cycle 7,980 mg/cycle |
$0.003 per mg | — — |
$6.27 $23.94 Average: $15.11 |
Henricks et al, 201881; OH (CCO); pCODR99 |
Raltitrexed | 3 mg/m2 on day 1 | 5.7 mg/cycle | $324.62 per 2 mg | — | $925.17 | Alberta Blue Cross103; OH (CCO)102,104 |
Abbreviations: 5-FU, f-fluorouracil; CADTH, Canadian Agency for Drugs and Technologies in Health; ODB, Ontario Drug Benefit program; OH (CCO), Ontario Health (Cancer Care Ontario); pCODR, pan-Canadian Oncology Drug Review.
An 8% markup was included for oral drugs (CADTH costing guidance document).