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- Title
The Relationship Between Pediatric Combination Vaccines and Market Effects.
- Authors
Behzad, Banafsheh; Jacobson, Sheldon H.; Jokela, Janet A.; Sewell, Edward C.
- Abstract
We explored market factors that affect pediatric combination vaccine uptake in the US public-sector pediatric vaccine market. We specifically examined how Pediarix and Pentacel earned a place in the 2009-2012 lowest overall cost formulary. Direct competition between Pediarix and Pentacel is driven by the indirect presence of the Merck Haemophilus influenzae type b vaccine and the Recommended Childhood Immunization Schedule requirement for a hepatitis B birth dose. The resulting analysis suggests that Pentacel would never have earned a place in the lowest overall cost formulary for 2009-2012 federal contract prices for any cost of an injection unless the Merck H influenzae type b advantage was ignored and the hepatitis B birth dose administration cost was recognized by health care providers in designing the lowest overall cost formularies.
- Subjects
UNITED States; ANTIGENS; COMPUTER simulation; CONTRACTING out; COST effectiveness; DPT vaccines; HAEMOPHILUS influenzae; HEPATITIS B vaccines; IMMUNIZATION; MEDICAL protocols; MEDICAL prescriptions; PHARMACEUTICAL industry; PNEUMOCOCCAL vaccines; POLICY science research; VACCINES; COMBINED vaccines; RETROSPECTIVE studies; ECONOMIC competition; VACCINATION
- Publication
American Journal of Public Health, 2014, Vol 104, Issue 6, p998
- ISSN
0090-0036
- Publication type
Article
- DOI
10.2105/AJPH.2013.301780