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Ustekinumab (Stelara) [Internet]. Ottawa (ON): Canadian Agency for Drugs and Technologies in Health; 2017 Apr.

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Ustekinumab (Stelara) [Internet].

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APPENDIX 1COST COMPARISON

The comparators presented in Table 4 have been deemed appropriate by clinical experts. Comparators may be recommended (appropriate) practice, rather than actual practice. Comparators are not restricted to drugs, but may be devices or procedures. Existing product reimbursement agreements are not reflected in the table; as a result, prices may not represent the actual costs to public drug plans.

Table 4. Cost-Comparison Table of Biologics for the Treatment of Crohn’s Disease.

Table 4

Cost-Comparison Table of Biologics for the Treatment of Crohn’s Disease.

Table 5Cost-Comparison Table of Other Drug Classes for Treatment of Crohn’s Disease

Drug/ComparatorStrengthDosage FormPriceRecommended DosecAverage Daily CostAverage Annual Cost
Immunomodulators
Methotrexate2.5 mgTab$0.6325Maintenance therapy only: 12.5 to 22.5 mg weekly$0.45 to $0.81$164 to $296
50 mg/2 mLInjection$8.920025 mg IM/SC weekly for 16 weeks to induce remission, then 15 mg weekly IM/SCInduction dose: $0.64Induction alone: $71
20 mg/2 mLInjection$12.5000Maintenance dose: $1.79Induction + maintenance therapy: $521
Azathioprine (Imuran and generics)50 mgTab$0.24052 to 3.5 mg/kg daily$0.72 to $1.20$263.35 to $438.91
6-mercaptopurine (Purinethol)50 mgTab$2.86101 to 2.5 mg/kg daily$4.29 to $10.01$1,566 to $3,655
Cyclosporine (Neoral)25 mgCapsule$0.99525 to 7.5 mg/kg daily divided every 12 hours$13.58 to $20.40$4,958 to $7,447
50 mg$1.9400
100 mg$3.8815
Corticosteroids
Betamethasone enema (Betnesol)5 mg/100 mLEnema$10.73145 mg nightly$10.73$3,917
Budesonide (Entocort)0.02 mg/mLEnema$8.8900b2 mg nightly for 8 weeks$8.89$498
Hydrocortisone enema (Hycort/Cortenema)100 mg/60 mLEnema$7.271160 mL nightly or every other night$3.64 to $7.27$1,327 to $2,654
(Cortifoam)15 g/pk (14 doses)Rectal aerosol$94.99One dose nightly or every other night$3.39 to $6.79$1,238 to $2,477
Hydrocortisone (generic)100 mgvial$2.5585b300 to 400 mg IV daily$7.68 to $10.23N/A
250 mg$4.3494b
500 mg$6.5244b
1000 mg$11.0019b
Methylprednisone (generic)40 mg/mLInjection suspension$5.638840 mg to 60 mg IV daily$5.64 to $8.46N/A
80 mg/mL$10.8160
100 g/5 mL$12.6271
Prednisone (generic)1 mgTablet$0.106640 mg to 60 mg daily to induce remission; then lower dose$0.18 to $0.22$64 to $79 or lower
5 mg$0.0220
50 mg$0.1735
Aminosalicylates
5-ASA (Asacol, Asacol 800)400 mgTablet$0.3951Active: 0.8 to 3 g daily in divided doses$0.79 to $4.74$288 to $1,731
Maintenance: 1.6 g daily in divided doses$1.58$577
800 mgEnt. Tab$1.09384.8 g daily in divided doses$6.56$2,395
5-ASA (Mesasal)500 mgEnt. Tab$0.6559Active: 1.5 to 3 g tabs daily in divided doses$1.97 to $3.94$718 to $1,436
Maintenance: 1.5 g daily in divided doses$1.97$718
5-ASA (Pentasa)500 mgDelayed-release Tab$0.55692 to 4 g daily in divided doses$2.23 to $4.46$813 to $1,626
1,000 mgSuppository$1.6000Suppository: 1g daily$1.60$584
1 g/100 mLEnema$3.7000
4 g/100 mLEnema$4.4600Enema: 1 to 4 g daily$3.70 to $4.46$1,351 to $1,628
5-ASA (Salofalk)500 mgEnt. Tab$0.59913 to 4 g daily in divided doses$3.59 to $4.79$1,312 to $1,749
500 mgSuppository$1.3243Suppository: 1 to 1.5 g daily$1.95 to $3.97$712 to $1,449
1,000 mgSuppository$1.9453
2 g/100 mLRectal Suspension$3.9967bActive: 4 g nightly$7.04$2,568
4 g/100 mL$7.0351Maintenance: 2 g nightly or 4 g every two nights$3.52 to $4.00$1,222 to $1,387
Sulfasalazine (Salazopyrin and generics)500 mgTab$0.1804Active: 1 to 2 g three to four times daily$1.08 to $4.51$395 to $1,645
500 mgEnt Tab$0.2816Maintenance: 1 g two to three times daily$0.72 to $1.69$263 to $617
Olsalazine (Dipentum)250 mgCapsule0.5330Active: 1 to 3 g daily in divided doses$2.13 to $6.40$778 to $2,335
Maintenance: 1 g daily in divided doses$2.13$778

Ent. = enteric; IV = intravenous; SC = subcutaneous; Tab = tablet.

All prices are from the Ontario Drug Benefit Formulary (November 2016) unless otherwise indicated.10

All weight-based dosage is based on an average weight of 69.8 kg as in the manufacturer’s economic submission.1

Copyright © CADTH 2017.

Except where otherwise noted, this work is distributed under the terms of a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International licence (CC BY-NC-ND), a copy of which is available at http://creativecommons.org/licenses/by-nc-nd/4.0/

Bookshelf ID: NBK476194

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