BUDGET IMPACT ANALYSIS      
Calculator and Grapher  
HEALTH DECISION STRATEGIES, LLC  
Data Entry Form  
You can modify the data in the yellow cells.  

 
         
Number of Patients =
Title =
 
           
Therapy Options Cost/Unit of Therapy Percent Therapy Units Consumed Percent Therapy Units Consumed    
    Option A Option B    
Note: You can mix the percent of Therapy X and Y for each Option A and B   `
 
  Total % =    
         
Unit Cost per Option  =   Option B minus Option A =  
       
Component Cost/Unit Units Units Total Cost Total Cost Total Cost Percent of Incremental Incremental
    Consumed Consumed     Difference Total Cost Average Unit Average
    Option A Option B Option A Option B Incremental   Use/Patient Cost/Patient
*** TOTAL ***   -  

Tables adapted from: "Case Study: Cost of Illness Analysis" by Cox E. in Grauer D. et al.   
Pharmacoeconomics and Outcomes.  
Am. College Clinical Pharmacy. Kansas City, Missouri.  
 
* Average cost per other prescriptions  
CT = computed tomography  
ED = emergency department  
EEG = electroencephalogram  
MRI = magnetic resonance imaging  
UC = urgent care  
 


Data Entry Form

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