Evidence map›Paper›PMID 41490483›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2026

Estimating US savings on outpatient prescription pharmaceuticals from international reference pricing.

Yang Ye, Abhishek Pandey, Meagan C Fitzpatrick, Lilia Potter-Schwartz, Carolyn Bawden, Bilori Bilori, Burton H Singer, Alison P Galvani

Abstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Estimating US savings on outpatient prescription pharmaceuticals from international reference pricing.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Yang YeCenter for Infectious Disease Modeling and Analysis, Yale School of Public Health, New Haven, CT 06510.
Abhishek PandeyCenter for Infectious Disease Modeling and Analysis, Yale School of Public Health, New Haven, CT 06510.ORCID 0000-0003-4578-7487
Meagan C FitzpatrickCenter for Vaccine Development and Global Health, University of Maryland School of Medicine, Baltimore, MD 21201.ORCID 0000-0002-5248-2668
Lilia Potter-SchwartzCenter for Infectious Disease Modeling and Analysis, Yale School of Public Health, New Haven, CT 06510.
Carolyn BawdenCenter for Infectious Disease Modeling and Analysis, Yale School of Public Health, New Haven, CT 06510.
Bilori BiloriCenter for Infectious Disease Modeling and Analysis, Yale School of Public Health, New Haven, CT 06510.
Burton H SingerDepartment of Mathematics, Emerging Pathogens Institute, University of Florida, Gainesville, FL 32610.ORCID 0000-0002-5295-5971
Alison P GalvaniCenter for Infectious Disease Modeling and Analysis, Yale School of Public Health, New Haven, CT 06510.

Funding

Notsew Orm Sands Foundation (The Notsew Orm Sands Foundation) NA
6 · The paper itself

Abstract

The exorbitant cost of prescription pharmaceuticals is a critical and long-standing concern facing the United States (US). To curb rising drug costs, international reference pricing, aligning drug prices with those in other high-income countries, has emerged as a prominent policy option. We evaluated the potential national savings from such a strategy in the United States through a comprehensive analysis of utilization patterns and global price differentials for over 8,000 drugs. We project an annual national saving of $184 billion if outpatient prescription pharmaceuticals were priced comparably to those in Canada, France, Germany, Japan, and the United Kingdom. Private insurers, Medicare, and Medicaid would realize savings of 51%, 62%, and 35%, respectively. Pharmaceutical expenditures for common chronic illnesses would be substantially reduced, with costs declining by over 75% for diabetes, atrial fibrillation, and heart failure. Our findings emphasize the substantial fiscal and equity gains achievable through international reference pricing, demonstrating its potential to mitigate financial burdens borne by both healthcare systems and individual patients.

Indexed as

Cost SavingsDrug CostsPrescription DrugsHumansOutpatientsUnited StatesPrescription Drugshealthcare savingshealth policyinternational reference pricingpharmaceutical expenditure

Identifiers

PMID41490483
PMCPMC12799144

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.