RT Journal Article SR Electronic T1 An evaluation of a price transparency intervention for two commonly prescribed medications on total institutional expenditure: a prospective study JF Future Healthcare Journal JO Future Healthc J FD Royal College of Physicians SP 198 OP 202 DO 10.7861/futurehosp.5-3-198 VO 5 IS 3 A1 Tessa Langley A1 Julia Lacey A1 Anthony Johnson A1 Clive Newman A1 Deepak Subramanian A1 Milind Khare A1 Rob Skelly A1 Mark Norwood A1 Nigel Sturrock A1 Andrew W Fogarty YR 2018 UL http://www.rcpjournals.org/content/5/3/198.abstract AB Providing feedback on cost has been demonstrated to decrease drug demand from clinicians. We conducted a prospective study with a step-wise intervention to test the hypothesis that providing information on the cost of drugs to clinicians would modify total expenditure. Participants included individuals who were admitted to the Royal Derby Hospital from ­November 2013 to November 2015 under the care of physicians. The cost of all antibiotics and inhaled corticosteroids was added to the electronic prescribing system. The main outcome was the weekly cost for antibiotics and inhaled corticosteroids in the intervention period compared to baseline costs. Mean weekly expenditure on antibiotics per patient decreased by £3.75 (95% confidence intervals [CI] –6.52 to –0.98) after the intervention from a pre-intervention mean of £26.44, and then slowly increased subsequently by £0.10/week (95% CI +0.02 to +0.18). Mean weekly expenditure on inhaled corticosteroids per patient did not substantially change after the intervention (–£0.03, 95% CI –0.06 to –0.01 after the intervention from a pre-intervention mean of £5.29 per person). New clinical guidelines for inhaled corticosteroids were associated with a decrease in weekly expenditure, but provision of feedback on drug costs resulted in no sustained change in institutional expenditure. However, clinical guidelines have the potential to modify clinical prescribing behaviour.