title: An economic comparison of risperidone and olanzapine use within an integrated managed mental health program.
abstract: This study assessed differences in total mental health care costs for 1 year following initiation of risperidone or olanzapine in individuals within NorthSTAR, an integrated managed mental health pilot project. A retrospective database analysis of individuals with schizophrenia or schizoaffective disorder and newly started on either agent was conducted. Antipsychotic medication costs were significantly lower for individuals prescribed risperidone than olanzapine (1763 dollars versus 2582 dollars; p<0.001). Individuals prescribed risperidone had lower (but not significant) expenditures for mental health services (4714 dollars versus 5077 dollars; p=0.792), as well as total mental health care costs (7407 dollars versus 9011 dollars; p=0.255).
authors.affiliation: Center for Pharmacoeconomic Studies, The University of Texas at Austin, Austin, TX 78712, USA. Johnsrud@mail.utexas.edu
authors.forename: Michael
authors.initials: M
authors.lastname: Johnsrud
authors.forename: M Lynn
authors.initials: ML
authors.lastname: Crismon
authors.forename: Ann
authors.initials: A
authors.lastname: Thompson
authors.forename: Amy
authors.initials: A
authors.lastname: Grogg
mesh_terms: D014150:Antipsychotic Agents / Q000191:economics*; D001569:Benzodiazepines / Q000191:economics; D019033:Delivery of Health Care, Integrated; D016527:Drug Costs; D008605:Mental Health Services; D000077152:Olanzapine; D012189:Retrospective Studies; D018967:Risperidone / Q000191:economics*; D012559:Schizophrenia / Q000188:drug therapy; D013781:Texas
chemical_list: D014150:Antipsychotic Agents; D001569:Benzodiazepines; D018967:Risperidone; D000077152:Olanzapine