Isbedelka daroogada cagaarshowga C, Sovaldi (sofosbuvir) , ayaa lagu soo weeraray horraantii 2014 markii lagu dhawaaqay in qiimaha is biirsan ee kooraska 12-usbuuc uu ahaa $ 84,000, ama qiyaastii $ 1,000 doolar. Iyadoo ay jiraan dadaallo ay soo saareen soo saaraha, Gilead Sciences si ay u bixiso dalalka saboolka ah iyo shakhsiyaadka, qiimaha sare ee daroogada ayaa cadaadis saaraya xitaa kuwa haysta dabool caafimaad oo wanaagsan, iyada oo qarashyada ka baxsan jeebka ah inta badan kumanaan kumanaan ah doolar.
Warku wuxuu mar kale ku celinayaa kharashka daawada loo isticmaalo in lagu daweeyo cagaarshowga Maraykanka. Iyadoo 3.2 milyan oo Maraykan ah ay qabeen Cagaarshow C (HCV) iyo in ka badan laba milyan oo lagu qaadsiiyay cagaarshow B (HBV), baahida loo qabo helitaanka daroogada la awoodi karo marnaba weyneyn.
Intaa waxaa dheer, laga soo bilaabo dunida caalamka, inta u dhaxaysa afar ilaa shan milyan oo qof ayaa la wadaaga HCV iyo HIV guud ahaan caalamka (ama qiyaastii 9% o dadka HIV).
Barnaamijka Gargaarka Isku-duubka iyo Bukaan-socodka (PAP) U-qalmitaanka
Dadaalka lagu xaqiijinayo helitaanka la awoodi karo, Isbahaysiga Caddaalada ah (FPC) ayaa ka wada xaajoodey barnaamijyada kaalmada bukaan-socodka iyo barnaamijyada gargaarka bukaanka (PAPs) oo leh kuwa ugu badan ee daawooyinka cagaarshow kasta. Labada barnaamijba waxay bixiyaan caawimaad bukaanno buuxiya shuruudaha xaq u yeelashada, iyada oo ku saleysan dakhliga qoyska ee qoyska ama Heerka Saboolnimada Federaalka ee sanadlaha ah (ama FPL). Shuruudaha ku-soo-biirinta way ku kala duwan yihiin barnaamijka, qaar ka mid ah PAP-yada, tusaale ahaan, bixinta helitaanka kuwa dakhligoodu ka yaryahay 500% ee FPL.
Qaddarka FPL ee hadda loo isticmaalo qiimeynta xaq u yeelashada waxaa laga heli karaa websiteka Health.gov.
Inkasta oo barnaamijyada wada-qaybinta ay ka caawiyaan caymiska wada-bixinta daroogooyinka shakhsi kasta, PAPs waxay u shaqeeyaan iyada oo bixisa qiimo jaban daawooyinka bilaashka ah ee shakhsiyaadka u qalma. Xaqiijinta dakhliga waxaa loo baahan yahay, badanaa sida foomka canshuur celinta dakhliga federaalka.
Horumarka dhowaanahan wuxuu ahaa aasaasida Codsiga Wadajirka ah ee PAP, oo ah qorshe isku dubaridaya Dowladda Mareykanka si loo dejiyo nidaamka codsiga. Foomka la buuxiyay ayaa markaa ka dib u baahan doona in lagu soo gudbiyo barnaamij kasta oo daaweynta shakhsi ahaaneed ee shaqsi ahaaneed.
| Daroogada | Shirkadda | La xiriir | Nooca Barnaamijka | Faahfaahinta Barnaamijka |
| Copegus (ribavirin) | Genentech / Roche | 888-941-3331 ama booqo shabakada internetka ee Pegasys | PAP | Waxay kharajisaa dadka aan u qalmin gargaar kale. Xaq u yeelashada ayaa xadidaya dakhliga. |
| Daklinza | Bristol-Myers Squibb | 844-442-6663 ama Taageerada Bukaanka ee BMS XUSUUS | Co-Pay | Waxay daboolaysaa ilaa $ 5,000 halkii 28-maalmood ah. |
| Bristol-Myers Squibb | 800-736-0003 ama Hay'adda Kaalmada Bukaanka ee BMS | PAP | Waxay kharajisaa dadka aan u qalmin kaalmo kale oo dakhligoodu ka hooseeyo 250% ee FPL. | |
| Epclusa | Gilead Sciences | 855-769-7284 ama bogga shabakada taageerada ee Gilead | Co-Pay | Waxay yareysaa kharashka wadarta mushaharka ee ugu yaraan $ 5 ee bukaanka u qalma ee dakhliga qoysku uu ka yar yahay $ 100,000 oo loogu talagalay qoys saddex ama in ka yar 500% ee FPL ee qoyska afar ama kabadan. |
| Gilead Sciences | 855-769-7284 ama bogga shabakada taageerada ee Gilead | PAP | Waxaa laga yaabaa in ay bixiso caymis bilaash ah bukaanka daqliga soo gala qoysku uu ka yar yahay $ 100,000 qoyskooda saddex ama in ka yar 500% FPL oo ah qoys afar ama kabadan. | |
| Harvoni | Gilead Sciences | 855-769-7284 ama bogga shabakada taageerada ee Gilead | Co-Pay | Waxay yareysaa kharashka wadarta mushaharka ee ugu yaraan $ 5 ee bukaanka u qalma ee dakhliga qoysku uu ka yar yahay $ 100,000 oo loogu talagalay qoys saddex ama in ka yar 500% ee FPL ee qoyska afar ama kabadan. |
| Gilead Sciences | 855-769-7284 ama bogga shabakada taageerada ee Gilead | PAP | Waxaa laga yaabaa inay bixiso caymis bilaash ah bukaanada dakhliga qoysku ka yar yahay $ 100,000 oo loogu talagalay qoyska saddex ka mid ah in ka yar 500% ee FPL ee qoyska afar ama kabadan. | |
| Olysio | Janssen Therapeutics | 855-5-OLYSIO ama website-ka | Co-Pay | Waxay yareyneysaa wada-bixinta ugu badnaan $ 5 bishii. Dakhliga Qoyska waa inuu ka yaryahay 500% FPL. |
| Janssen Therapeutics | 800-652-6227 ama Xarunta Caawinta Bukaanka ee Johnson & Johnson | PAP | Waxay bixisaa caymis bilaash ah oo Olysio ah qof u qalma oo dakhligoodu ka hooseeyo 500% ee FPL. | |
| Genentech / Roche | 888-941-3331 ama booqo shabakada internetka ee Pegasys | PAP | Waxay kharajisaa dadka aan u qalmin gargaar kale. Xaq u yeelashada ayaa xadidaya dakhliga. | |
| PegIntron (peginterferon) | Merck | 866-939-4372 ama website-ka wax soo saarka | Co-Pay | Waxay bixiyaan bukaanno uqalma ilaa $ 200 oo kayd ah illaa 12 daawo. |
| Merck | 866-363-6379 ama Merck Ku caawi bogga internetka | PAP | Waxay kharajisaa dadka aan u qalmin gargaar kale. Xaq u yeelashada waxaa ku xaddidan dakhliga (guud ahaan dakhliga qoyska ee ka yar 500% ee FPL). | |
| Sovaldi | Gilead Sciences | 855-769-7284 ama bogga shabakada taageerada ee Gilead | Co-Pay | Waxay yareysaa kharashka wadarta mushaharka ee ugu yaraan $ 5 ee bukaanka u qalma ee dakhliga qoysku uu ka yar yahay $ 100,000 oo loogu talagalay qoys saddex ama in ka yar 500% ee FPL ee qoyska afar ama kabadan. |
| Gilead Sciences | 855-769-7284 ama bogga shabakada taageerada ee Gilead | PAP | Waxaa laga yaabaa in ay bixiso caymis bilaash ah bukaanka daqliga soo gala qoysku uu ka yar yahay $ 100,000 qoyskooda saddex ama in ka yar 500% FPL oo ah qoys afar ama kabadan. | |
| Viekira Pak | Abbvie | 844-2PROCEED (844-277-6233) ama bogga Abbvie ProCeed | Co-Pay | Bukaanadu waxay xaq u yeelan karaan ilaa 95% gargaarka wada-qaybsiga. |
| Abbvie | 844-2PROCEED (844-277-6233) ama bogga Abbvie ProCeed | PAP | Waxaa laga yaabaa in ay bixiso caymis bilaash ah bukaanka daqliga soo gala qoysku uu ka yar yahay $ 100,000 qoyskooda saddex ama in ka yar 500% FPL oo ah qoys afar ama kabadan. | |
| Zepatier | Merck | 866-251-6013 ama bogga internetka Merck Access | Co-Pay | Waxay yareyneysaa kharashka wada-qaybsiga ee ugu hooseeya ilaa $ 5 bishiiba oo loogu talagalay bukaanka u qalma. |
| Merck | 866-251-6013 ama bogga internetka Merck Access | PAP | Waxaa laga yaabaa inay bixiso caymis bilaash ah bukaanada dakhliga qoysku yahay $ 59,400 ama ka yar shakhsiyaadka, $ 80,100 ama ka yar labadii lamaane, ama $ 121,500 ama ka yar qoyska 4 ama kabadan. |
Ilaha:
Sanger-Katz, M. "$ 1,000 Cagaarshowga Cagaarshow wuxuu muujinayaa sababta Sababta loo Sameeyo Kharashka Caafimaadku waa mid adag." New York Times; la daabacay Agoosto 2, 2014.
Rotman, Y. iyo Liang, T. "Neefsashada Cagaarshow Cagaarshowga C iyo Fayruska Immuno-Deficiency Virus: Natiijooyinka Virological, Immunological, iyo Natiijooyinka Caafimaadka." Wargeyska Virology. Agoosto 2009; 83 (15): 7366-7374.
Fix, O .; Locarnini, S .; iyo Peters, M. "Virology iyo Clinical Management of Cagaarshow B iyo HIV Neefsashada." PRN Notebook. Abriil 2007; mugga 11.