Tablet Splitting

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Tablet Splitting for Cost Containment

ASCP Comments/Policy Statements

SCA June 22, 2005
Pill Splitting is Encouraged by Health Insurers to Decrease Health Costs

August 2004
ASCP Comments to Ohio Medicaid in Response to Tablet Splitting Initiative (PDF)

July 2000
Statement on Mandatory Tablet Splitting for Cost Containment

July 2000
ASCP Issues Statement Opposing Health Insurance Policies Requiring Tablet Splitting by Patients

General Resources

Cook TJ, Edwards S, et al.  Variability in tablet fragment weights when splitting unscored cyclobenzaprine 10 mg tablets.  2004; 44(5): 583-586.

Polli JE, Kim S, et al.  Weight uniformity of split tablets required by a Veterans Affairs policy.  JMCP.  2003; 9(5): 401-407.

Vuchetich PJ, Garis RI, et al.  Evaluation of cost savings to a state Medicaid program following a sertraline tablet-splitting program.  J Am Pharm Assoc.  2003; 43(4): 497-502.

Peek BT, et al.  Accuracy of tablet splitting by elderly patients.  JAMA.  July 2002; 288(4): 451-452.

Rosenberg JM, et al.  Weight variability of pharmacist-dispensed pill tablets.  J Am Pharm Assoc.  2002; 42: 200-5.

Teng J, et al.  Lack of Medication Dose Uniformity in Commonly Split Tablets.  J Am Pharm Assoc.  July 2002; 42(2): 195-199.

Duncan MC, Castle SS, et al.  Effect of tablet splitting on serum cholesterol concentrations.  The Annals of Pharmacotherapy.  Feb 2002; 36:205-209.

Rindone JP. Evaluation of tablet-splitting in patients taking lisinopril for hypertension. J Clin Outcomes Manage. 2000; 7:22-24.

Health Service Research and Development Service, Management Decision and Research Center. Veterans affairs technology assessment program short report: tablet splitting. May 2000; 3:1.

Fawell NG, Cookson TL. Relationship between tablet splitting and compliance, drug acquisition cost, and patient acceptance. Am J Health Syst Pharm. 1999; 56:2542-2555.

Mcdevitt JT, Gurst AH, Chen Y. Accuracy of tablet splitting. Pharmacotherapy. 1998; 18(1):193-197.

Topical Resources

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