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Estimated Veterans Health Administration costs for Alzheimer's disease treatment with aducanumab

Haimovich, A. D.; Goulet, J. L.; Brandt, C. A.; Tarabar, A.; Patwa, H. S.; Hwang, U.

2021-07-30 neurology
10.1101/2021.07.24.21261063 medRxiv
Show abstract

The approval of aducanumab for the treatment of Alzheimers disease has been met with significant public concern. Projections of annual cost across United States Medicare beneficiaries are in the tens of billions of dollars. Here, we performed an electronic health record review of Veterans Affairs beneficiaries, identifying 151,921 individuals (1.7%) with diagnosis codes for Alzheimers disease. We estimate that treatment for this cohort will cost in excess of $4 billion annually with further expenditures for associated screening, consultations, imaging, and therapeutic monitoring. The magnitude of projected expenditures necessitates early assessment of drug cost effectiveness.

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