That is the discovery of a Shih et al. (2023).
Their first finding is that white bags and brown bags are not yet that common, with the exception of supportive care.
![](https://www.healthcare-economist.com/wp-content/uploads/2023/09/bagging-uptake-1024x604.png)
However, using “bagging” saves money…at least for payers.
PPPM Adjusted Mean Insurance Payments [per patient per month] were statistically significantly lower for medications distributed in bags versus purchasing and billing ($7,405 [95% CI, $7111-$7700] vs $9547 [95% CI, $9471-$9622]; P< .001); …The adjusted mean and median PPPM of out-of-pocket payment was higher for bagging than for purchasing and billing (mean: $315 [95% CI, $278-$351] vs. $145 [95% CI, $141-$148];
![](https://www.healthcare-economist.com/wp-content/uploads/2023/09/bagging-cost.png)
The full article is here.