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September 2001, Vol 91, No. 9 | American Journal of Public Health 1443-1445
© 2001 American Public Health Association

RESEARCH

Modeling the Cost and Outcomes of Pharmacist-Prescribed Emergency Contraception

Kristin D. Marciante, MPH, Jacqueline S. Gardner, PhD, David L. Veenstra, PharmD, PhD and Sean D. Sullivan, PhD

The authors are with the Department of Pharmacy, University of Washington, Seattle. Sean D. Sullivan is also with the Department of Health Services, University of Washington.

Correspondence: Requests for reprints should be sent to Kristin D. Marciante, MPH, Department of Pharmacy, University of Washington, Box 357630, Seattle, WA 98195 (e-mail: marciant{at}u.washington.edu).

Objectives. This study investigated the effect on the risk and cost of unintended pregnancies of emergency contraceptive pills obtained directly from a pharmacist.

Methods. We used a decision model to compare outcomes for private and public payers following unprotected intercourse from.

Results. Obtaining emergency contraceptive pills from a pharmacy, compared with obtaining them from a physician or clinic, resulted in a $158 (95% confidence interval (CI) = $76, $269) reduction in costs for private payers and a $48 (95% CI = $16, $93) reduction for public payers.

Conclusions. Our findings suggest that under varied assumptions, obtaining emergency contraceptive pills directly from a pharmacist reduces the number of unintended pregnancies and is cost saving.




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