ASCO GUIDELINES Bundle

Antiemetics (CINV)

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17 a Schedules were those recommended as antiemetic drug doses as of October 4, 2016. Prices per dose were for a single infusion or per pill for orally administered medications. Prices for infused drugs reimbursed through Medicare Part B only were identified from the 2016 Medicare Part B Drug Average Sales Price Data (https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Part-B- Drugs/McrPartBDrugAvgSalesPrice/index.html). Prices for orally administered drugs reimbursed through Medicare Part D were identified in the PlanFinder for a beneficiary living within ZIP code 10065 (www.medicare.gov). To remain as consistent as possible with prior methodolog y, we selected a Humana PDP plan with the lowest cost for beneficiaries to identify the full cost of each drug (Bach PB. Limits on Medicare's ability to control rising spending on cancer drugs. e New England Journal of Medicine. 2009;360(6):626-33. AND https://www.mskcc.org/sites/default/ files/node/25097/documents/methods-for-drug-price-calculations-12.9.15.pdf ). Drug costs may vary by plan and by pharmacy where a prescription is filled (eg, preferred or nonpreferred pharmacies). In some cases, antiemetic coverage for orally administered drugs may be covered by either Part B or Part D. We have selected the Medicare Part D price in these cases. Note: drug prices are dynamic and the prices listed in the table may not reflect current prices. In some cases, the recorded out-of-pocket price per dose is equivalent to the price per cycle. is may represent a minimum price per fill set by the health plan. b Price information not yet available through Medicare. c Assume 3 days use, 12 pills per day. Table 6. Estimated Costs for Antiemetic Products a Footnotes

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