Does price disclosure in pharmaceutical advertising result in price transparency? Evidence from a randomized experiment

Background: Policies that mandate list price disclosure in direct-to-consumer pharmaceutical advertising (DTCPA) cite price transparency among the benefits. The expectation is that price transparency will lead to changes in consumer behavior that will ultimately lower healthcare costs. Objective: Th...

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Main Authors: Ilene L. Hollin, Jennifer Gerard Ball
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:Exploratory Research in Clinical and Social Pharmacy
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2667276622000798
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author Ilene L. Hollin
Jennifer Gerard Ball
author_facet Ilene L. Hollin
Jennifer Gerard Ball
author_sort Ilene L. Hollin
collection DOAJ
description Background: Policies that mandate list price disclosure in direct-to-consumer pharmaceutical advertising (DTCPA) cite price transparency among the benefits. The expectation is that price transparency will lead to changes in consumer behavior that will ultimately lower healthcare costs. Objective: The objective of this study was to assess the impact of price transparency on perceived level of information and consumer behaviors, specifically intentions to seek treatment and intentions to comparison shop. Methods: A nine-arm randomized experiment was conducted to expose respondents to television advertisements for prescription drugs that varied by price disclosure type (no price/control, list price only, or price plus, which disclosed the list price and typical out-of-pocket cost) and indicated condition (deep vein thrombosis/pulmonary embolism [DVT/PE], diabetes, or rheumatoid arthritis [RA]). The sample was recruited from US adult members of the nationally representative Amerispeak online panel. Results: The sample included 2138 respondents. For ads featuring prescription drugs for DVT/PE, findings provide no evidence of an impact from price disclosure on perception of sufficient information. For ads for prescription drugs for diabetes, there was no evidence of an impact from list price only, but the price plus group was more likely than the control group to report the ad provided sufficient information (OR = 2.475). For ads for RA prescription drugs, both the list price only group (OR = 3.380) and price plus group (OR = 2.720) were more likely to report sufficient information than the control. Findings provide no evidence of an impact from price disclosure on consumer behaviors (i.e., intention to seek treatment or intention to comparison shop). Conclusions: Mandatory DTCPA list price disclosure may not be the most effective tool for improving price transparency and affecting consumer behavior.
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spelling doaj.art-e497a8650a1a451eacd22f23060660f42022-12-22T04:19:42ZengElsevierExploratory Research in Clinical and Social Pharmacy2667-27662022-12-018100180Does price disclosure in pharmaceutical advertising result in price transparency? Evidence from a randomized experimentIlene L. Hollin0Jennifer Gerard Ball1Department of Health Services Administration and Policy, College of Public Health, Temple University, 1301 Cecil B. Moore Ave, Philadelphia, PA 19122, United States; Corresponding author.Department of Advertising and Public Relations, Klein College of Communication, Temple University, 300 Annenberg Hall, Philadelphia, PA 19122, United StatesBackground: Policies that mandate list price disclosure in direct-to-consumer pharmaceutical advertising (DTCPA) cite price transparency among the benefits. The expectation is that price transparency will lead to changes in consumer behavior that will ultimately lower healthcare costs. Objective: The objective of this study was to assess the impact of price transparency on perceived level of information and consumer behaviors, specifically intentions to seek treatment and intentions to comparison shop. Methods: A nine-arm randomized experiment was conducted to expose respondents to television advertisements for prescription drugs that varied by price disclosure type (no price/control, list price only, or price plus, which disclosed the list price and typical out-of-pocket cost) and indicated condition (deep vein thrombosis/pulmonary embolism [DVT/PE], diabetes, or rheumatoid arthritis [RA]). The sample was recruited from US adult members of the nationally representative Amerispeak online panel. Results: The sample included 2138 respondents. For ads featuring prescription drugs for DVT/PE, findings provide no evidence of an impact from price disclosure on perception of sufficient information. For ads for prescription drugs for diabetes, there was no evidence of an impact from list price only, but the price plus group was more likely than the control group to report the ad provided sufficient information (OR = 2.475). For ads for RA prescription drugs, both the list price only group (OR = 3.380) and price plus group (OR = 2.720) were more likely to report sufficient information than the control. Findings provide no evidence of an impact from price disclosure on consumer behaviors (i.e., intention to seek treatment or intention to comparison shop). Conclusions: Mandatory DTCPA list price disclosure may not be the most effective tool for improving price transparency and affecting consumer behavior.http://www.sciencedirect.com/science/article/pii/S2667276622000798Direct-to-consumer pharmaceutical advertisingPrice disclosurePrice transparencyInformation asymmetryConsumer behavior
spellingShingle Ilene L. Hollin
Jennifer Gerard Ball
Does price disclosure in pharmaceutical advertising result in price transparency? Evidence from a randomized experiment
Exploratory Research in Clinical and Social Pharmacy
Direct-to-consumer pharmaceutical advertising
Price disclosure
Price transparency
Information asymmetry
Consumer behavior
title Does price disclosure in pharmaceutical advertising result in price transparency? Evidence from a randomized experiment
title_full Does price disclosure in pharmaceutical advertising result in price transparency? Evidence from a randomized experiment
title_fullStr Does price disclosure in pharmaceutical advertising result in price transparency? Evidence from a randomized experiment
title_full_unstemmed Does price disclosure in pharmaceutical advertising result in price transparency? Evidence from a randomized experiment
title_short Does price disclosure in pharmaceutical advertising result in price transparency? Evidence from a randomized experiment
title_sort does price disclosure in pharmaceutical advertising result in price transparency evidence from a randomized experiment
topic Direct-to-consumer pharmaceutical advertising
Price disclosure
Price transparency
Information asymmetry
Consumer behavior
url http://www.sciencedirect.com/science/article/pii/S2667276622000798
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