In this issue of JAMA Internal Medicine, the article by Judge-Golden et al1 provides further evidence that dispensing a larger supply of contraception is cost-effective. This economic decision model explored the financial implications for the Veteran Affairs (VA) health care system of offering beneficiaries 12 months of oral contraceptive pills (OCPs) in a single prescription. Across a range of sensitivity analyses, the authors found that the 12-month dispensing option was cost saving to the VA compared with the standard 3-month dispensing option, largely owing to the reduction in unintended pregnancy.
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Grossman D. Expanding Access to Short-Acting Hormonal Contraceptive Methods in the United States. JAMA Intern Med. Published online July 08, 2019. doi:10.1001/jamainternmed.2019.1676
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