Skip to main content
. 2023 Mar 3;6(3):e231507. doi: 10.1001/jamanetworkopen.2023.1507

Table. Claims per Prescription Drug per Patient and Mean Annual OOP Costs by Prescription Drug for 121 787 Women Undergoing Invasive Breast Cancer Treatment with Oral Anticancer Drugs in 2018a .

Drug Total No. of claims No. of claims per drug per patient, mean (SD)b Annual OOP costs per person, median (95% CI), $c
Available only as proprietary (patented)
Abemaciclib 1228 7.8 (4.1) 51.52 (50.04-52.99)
Letrozole and ribociclib 170 7.6 (3.9) 21.01 (19.10-22.95)
Lapatinib 735 9.3 (8.1) 54.94 (52.85-52.77)
Olaparib 503 6.4 (3.9) 51.67 (50.58-52.77)
Palbociclib 11 918 10.0 (4.9) 137.58 (134.08-141.07)
Ribociclib 489 8.9 (6.0) 37.89 (37.89-37.89)
Talazoparib 3 1.0 (NA) NAd
Everolimus 1281 10.4 (6.2) 74.25 (73.76-74.75)
Total proprietary 16 327 7.6 (5.3) NA
Available as nonproprietary
Capecitabinee 8852 12.1 (8.8) 19.66 (19.63-19.70)
Exemestanee 13 062 4.6 (3.4) 12.22 (12.22-12.25)
Letrozolee 14 974 3.8 (3.5) 3.30 (3.30-3.31)
Anastrozole 22 150 4.1 (2.8) 3.83 (3.79-3.84)
Megestrol acetate 122 4.5 (4.4) 3.48 (3.33-3.63)
Tamoxifen citrate 46 300 4.4 (3.4) 0.58 (0.57-0.60)
Total nonproprietary 105 460 5.6 (4.4) NA

Abbreviations: NA, not applicable; OOP, out-of-pocket.

a

Data from this table were extracted from the 2018 Marative MarketScan Database. All mean OOP cost estimates are adjusted for inflation in 2022 by the US Bureau of Labor Statistics. Claims were determined by individual National Drug Codes for oral anticancer prescription drugs approved by the US Food and Drug Administration.

b

Mean frequency of how often these oral anticancer prescription drugs were prescribed in 2018 per patient.

c

These estimates have a 95% CI based on their estimates in the γ log-link regression model.

d

These oral anticancer prescription drugs had claims for both their nonproprietary and proprietary versions in the Marative MarketScan database.

e

This oral anticancer prescription drug did not have enough claims to make statistically significant cost estimates.