Variability in Practices of Compounding Budesonide for Eosinophilic Esophagitis.

Joshi, Sagar; Rubenstein, Joel H; Dellon, Evan S; Worthing, Nathan; Stefanadis, Zoe; Chang, Joy W · Am J Gastroenterol · 2021

cross_sectional · Level IV

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Abstract

Little is known about the use of compounded steroids for eosinophilic esophagitis (EoE). We conducted a telephone survey of all compounding pharmacies in Michigan and queried about practices and costs of compounded budesonide for EoE. Of 68 Michigan pharmacies, 93% responded, and 20 (29%) offer compounded budesonide suspension for EoE. Formulations, dose, and instructions for use varied across pharmacies. The mean cost for a 30-day supply was $74.50. Although few compounding pharmacies offer budesonide suspension and there are substantial variations in formulations, this may be a significantly more affordable treatment option for many.

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