Cost-effectiveness Analysis of Nirmatrelvir/Ritonavir for COVID-19 Among Individuals at High Risk: A Modeling Study - Takeaways - MDSpire

Cost-effectiveness Analysis of Nirmatrelvir/Ritonavir for COVID-19 Among Individuals at High Risk: A Modeling Study

  • By

  • Emma Birnie

  • Magda Vergouwe

  • Brent Appelman

  • Jason J Biemond

  • Jarom Heijmans

  • Brooke E Nichols

  • W Joost Wiersinga

  • Stephanie Popping

  • on behalf of

  • the TURN-COVID studygroup

  • Matthijs R A Welkers

  • Hans L Zaaijer

  • Frans J van Ittersum

  • Maarten F Schim van der Loeff

  • Marije K Bomers

  • Marie José Kersten

  • Mette D Hazenberg

  • Marc van der Valk

  • E Marleen Kemper

  • Frits R Rosendaal

  • Mark G J de Boer

  • Renée A Douma

  • Marcel van den Berge

  • Robert-Jan Hassing

  • Heidi S M Amerlaan

  • Marit G A van Vonderen

  • Janneke E Stalenhoef

  • Robin Soetekouw

  • Frank van de Veerdonk

  • Marvin A H Berrevoets

  • Robbert J van Alphen

  • Frits van Osch

  • Jiri F P Wagenaar

  • Rob J van Marum

  • Astrid M L Oude Lashof

  • Cees van Nieuwkoop

  • Eliane M S Leyten

  • Hazra S Moeniralam

  • Joost N Vermeulen

  • March 26, 2025

  • 0 min

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  • 1

    Nirmatrelvir/ritonavir is priced at approximately $1375 in the Netherlands and is used for high-risk COVID-19 patients to prevent severe disease.

  • 2

    The study evaluated health outcomes and cost-effectiveness using a decision-analytic model with data from 949 high-risk individuals infected with SARS-CoV-2.

  • 3

    Nirmatrelvir/r could reduce hospitalizations and deaths by 21% to 89% and is cost-effective at prices below $512 with low effectiveness and $1071 with high effectiveness.

  • 4

    Current low baseline event rates for hospitalization suggest nirmatrelvir/r can reduce severe outcomes cost-effectively if drug prices are reduced by 22% to 63%.

  • 5

    The findings emphasize the need for policy makers to reevaluate current drug pricing to enhance the uptake of nirmatrelvir/r among high-risk COVID-19 patients.

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