caa a22 4500 445332182 CHVBK 20180317142741.0 cr unu---uuuuu 170323e20111201xx s 000 0 eng 10.1007/s10198-010-0270-2 doi (NATIONALLICENCE)springer-10.1007/s10198-010-0270-2 How removing prescription drugs from reimbursement lists increases the pharmaceutical expenditures for alternatives [Elektronische Daten] [Özden Gür Ali, Başak Topaler] Changing the status of drugs from prescription-only to over-the-counter and removing them from reimbursement list has been used as a cost reduction measure by several third-party payers. In June 2006, the Turkish government, in an effort to curtail costs, removed many prescription drugs from the reimbursement list. This paper examines the effect of this policy on the expenditures for drugs that were removed from the reimbursement list and for their reimbursable alternatives that can be prescribed by physicians on patient request. To accomplish these goals, actual expenditures in four anatomical therapeutic chemical (ATC) groups were compared with expected expenditures in the absence of policy change for both removed and alternative drugs. The findings indicated that the expenditures on alternative drugs beyond expectations. In two of the four ATC groups involved in the study, the increase was large enough to wipe out the reduction in expenditures on the drugs removed from the reimbursement list. Springer-Verlag, 2010 Pharmaceutical expenditures nationallicence Reimbursement nationallicence Health policy nationallicence Cost-effectiveness nationallicence Substitution with alternatives nationallicence Gür Ali Özden Koç University College of Administrative Sciences and Economics, CAS 241, Rumeli Feneri Yolu, Sariyer, Istanbul, Turkey aut Topaler Başak Koç University College of Administrative Sciences and Economics, CAS 241, Rumeli Feneri Yolu, Sariyer, Istanbul, Turkey aut The European Journal of Health Economics Springer-Verlag 12/6(2011-12-01), 553-562 1618-7598 12:6<553 2011 12 10198 https://doi.org/10.1007/s10198-010-0270-2 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10198-010-0270-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Gür Ali Özden Koç University College of Administrative Sciences and Economics, CAS 241, Rumeli Feneri Yolu, Sariyer, Istanbul, Turkey aut NATIONALLICENCE 700 1- Topaler Başak Koç University College of Administrative Sciences and Economics, CAS 241, Rumeli Feneri Yolu, Sariyer, Istanbul, Turkey aut NATIONALLICENCE 773 0- The European Journal of Health Economics Springer-Verlag 12/6(2011-12-01), 553-562 1618-7598 12:6<553 2011 12 10198 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer