Budget Impact of Adopting Nirmatrelvir-Ritonavir for Treating COVID-19 in a Large Integrated Healthcare System - Takeaways - MDSpire

Budget Impact of Adopting Nirmatrelvir-Ritonavir for Treating COVID-19 in a Large Integrated Healthcare System

  • By

  • David P Bui

  • Denise M Hynes

  • Edwin Wong

  • Robert Vergun

  • Lei Yan

  • Yuli Li

  • Nallakkandi Rajeevan

  • Kristin Berry

  • Hung-Mo Lin

  • Yuan Huang

  • Diana J Govier

  • Mihaela Aslan

  • George Ioannou

  • Kristina L Bajema

  • September 24, 2025

  • 0 min

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  • 1

    The budget impact analysis of nirmatrelvir-ritonavir (NR) for COVID-19 treatment in the Veterans Health Administration (VHA) was conducted for eligible Veterans.

  • 2

    Among 138,261 treatment-eligible Veterans, 18% were prescribed NR, leading to a healthcare cost reduction of $20 million but an overall budget increase of $122 million.

  • 3

    Targeted treatment of high-risk patients achieved healthcare savings of $17 million, while increasing total budget costs by $3 million.

  • 4

    The high purchasing cost of NR, priced at $1,031 per course, likely exceeds the savings from reduced healthcare utilization.

  • 5

    Price reductions for NR are essential for it to be a financially viable treatment option within healthcare systems.

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