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Impact of a Clinical Pharmacist Intervention on Medicine Costs in Patients with Chronic Obstructive Pulmonary Disease in India


  • Suhaj Abdulsalim

    () (Qassim University
    MCOPS, Manipal Academy of Higher Education)

  • Mazhuvancherry Kesavan Unnikrishnan

    () (MCOPS, Manipal Academy of Higher Education
    National College of Pharmacy)

  • Mohan K. Manu

    () (Manipal Academy of Higher Education)

  • Saud Alsahali

    () (Qassim University)

  • Alian A. Alrasheedy

    () (Qassim University)

  • Antony P. Martin

    () (University of Liverpool Management School
    HCD Economics, The Innovation Centre)

  • Brian Godman

    () (University of Liverpool Management School
    University of Strathclyde
    Karolinska Institute, Karolinska University Hospital
    Universiti Sains Malaysia)

  • Abubakr A. Alfadl

    () (Qassim University)


Background Chronic obstructive pulmonary disease (COPD) is a major cause of morbidity and mortality, especially in low- and middle-income countries (LMICs) such as India. Medicine costs are a key issue in LMICs, with typically high patient co-payments. In addition, pharmacists are underutilised in LMICs, including India. However, pharmacist-led educational interventions may improve the care of patients with COPD, as well as reduce medicine costs. Consequently, the objective of this study was to assess the effectiveness of a pharmacist-led intervention in reducing medicine costs. Methodology We assessed the impact of a pharmacist intervention on direct medicine costs in COPD patients (medicine costs and pharmacist time) in a randomised controlled study involving an intervention and control group, conducted at a tertiary care teaching hospital in India. Results The 6-monthly cost of medicines at baseline increased with disease severity, from a maximum of US$29.46 for those with mild COPD to US$63.28 for those with very severe COPD. Substantial savings in medical costs were achieved with the pharmacist-led programme, to a maximum of US$20.49 over 6 months for very severe patients. This equates to a reduction of 30.6% in medicine costs (p

Suggested Citation

  • Suhaj Abdulsalim & Mazhuvancherry Kesavan Unnikrishnan & Mohan K. Manu & Saud Alsahali & Alian A. Alrasheedy & Antony P. Martin & Brian Godman & Abubakr A. Alfadl, 2020. "Impact of a Clinical Pharmacist Intervention on Medicine Costs in Patients with Chronic Obstructive Pulmonary Disease in India," PharmacoEconomics - Open, Springer, vol. 4(2), pages 331-342, June.
  • Handle: RePEc:spr:pharmo:v:4:y:2020:i:2:d:10.1007_s41669-019-0172-x
    DOI: 10.1007/s41669-019-0172-x

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    Blog mentions

    As found by, the blog aggregator for Economics research:
    1. Chris Sampson’s journal round-up for 1st June 2020
      by Chris Sampson in The Academic Health Economists' Blog on 2020-06-01 11:00:00

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