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- Coupons Are Hot. Clipping Is Not
- Top 15 Most Popular Coupon Websites | January 2019
- Top 15 Most Popular Coupon Websites | January 2019
- The Pros & Cons Of Using Coupons For Your Business
- Register an Xfinity Coupon and Check Your Balance
- Article.com Promo Codes
- Why are more retailers investing in digital coupons?
- Unused Coupons Still Pay Off
- Using Coupon Codes
Coupons Are Hot. Clipping Is Not
Drug coupons are widely used, but their effects are not well understood. Incident statin users who initiated branded atorvastatin or rosuvastatin between June and February Monthly statin utilization [pill-days of therapy], switching [filling a different statin], termination [failure to refill statin for 6 months], and out-of-pocket and total costs. At one year, compared to non-coupon users, those who used a statin coupon on their first fill were dispensed an equal number of monthly pill-days At 4 years, coupon users were more likely to have switched Those who used greater numbers of coupons were substantially less likely to switch and terminate statin therapies.
Sensitivity analyses supported the main results. Coupons for branded statins are associated with higher utilization and lower rates of discontinuation and short-term switching to other statin products. Despite their increasing prevalence, there is remarkably little evidence regarding the effect of coupons on prescription drug utilization or expenditures.
One retrospective cohort study used commercial pharmacy claims from incident statin patients to examine the impact of coupons on brand-name statin utilization and spending. The authors found that coupon users had higher rates of adherence and substantially higher total statin costs than those who initiated generic statins. We conducted a retrospective cohort study comparing the effect of coupon use on utilization and expenditures among incident statin-users.
We focused on statins because the indications for statin use consist of prevalent and costly chronic conditions, and because there are multiple statins on the market, some of which have been heavily marketed and promoted with drug coupons. The data are generated on a daily basis at pharmacies and are then automatically transmitted to IMS Health through weekly feeds. Each prescription claim contains information about the retail transaction days supply, number of refills , patient year of birth, sex , product National Drug Code [NDC] , and the payer and prescription drug plan.
We used payer and plan variables to identify statin claims associated with copay coupons. We derived a closed cohort of incident statin users from a larger extract that contained all prescriptions from January through August for any patient who filled two or more prescriptions for an opioid in one of eleven states over any 1-year period during that time. This extract, derived for a separate study, consisted of 5. Participants were incident statin users, defined by evidence of no prior statin use for at least a 6-month period with evidence of other prescription claims activity, who initiated branded atorvastatin or rosuvastatin.
Medicare and Medicaid prohibit coupon use, so we excluded individuals over the age of 65 or who otherwise used Medicaid or Medicare. We categorized patients into four mutually exclusive groups: To account for potential differences between early and late coupon adopters, we excluded individuals who used a coupon for either statin before coupons were widely available for that drug, which we defined as the use of a coupon for at least 0. For our primary analyses, we included only individuals who used pharmacies that consistently reported data to IMS throughout the study period and who filled at least one prescription for any drug within the first and last 6 months of the study period.
We examined three measures of utilization and two measures of cost. First, we calculated the quantity of a prescription medicine sufficient for one day of therapy pill-day and then examined the average monthly number of pill-days supplied. Second, we calculated switching as the probability of switching statins from one month to the next. Third, we calculated the proportion of people who terminated therapy, defined as a 6-month period without any statin utilization.
We excluded claims with missing cost information from our analyses that examined out-of-pocket and total costs. In some cases, individuals had multiple statin transactions during a given month that made it difficult to easily assign patients to a particular statin therapy. We used generalized estimating equations GEE models, accounting for within-subject correlations over time to calculate the predicted and marginal effects of coupon use between coupon users in each group and their counterfactual non-coupon counterparts.
We used the number of months contributed by each person included in the cohort i. We controlled for the age and sex of individual respondents and included flexible specifications for time on drug, measured in months, and controlled for the year and month that therapy was initiated. Our data did not include diagnoses, so we controlled for differences in patient comorbidities using the Chronic Disease Score, a method of quantifying comorbid burden using automated pharmacy claims that has been validated as a measure of hospitalizations, expenditures, and mortality.
We modeled the number of pills dispensed in a given month using a negative binomial specification; out-of-pocket costs, pharmacy costs, and monthly pill utilization were modeled using a Poisson distribution. In most analyses, we estimated GEE models with exchangeable correlation matrices. However, in our constant store sample it was necessary to assume independence between observations in order for the model to converge. We used GEE logistic regression, which allows for within subject correlation over time, to examine the effects of drug coupons on switching and termination.
This approach provides a method of standardizing the average predicted values over the distribution of other covariates. We then computed average marginal differences as the average difference between the coupon group predicted values and the comparison group predicted values. We computed standard errors for average predicted values and marginal differences using the delta method from cluster-robust variance matrices. We conducted several sensitivity analyses.
First, because we limited our primary analyses to a closed cohort of individuals, we repeated our analyses, allowing subjects to enter and leave the cohort. Second, since our data do not capture mail-order medications, we repeated our analyses excluding individuals who filled any prescriptions by mail order during the analysis period. Third, since our original extract oversampled opioid users, we repeated our analyses after limiting them to individuals who had no opioid prescription fills from incident statin use until termination or censoring.
Fourth, we varied rules that allowed for unlimited stockpiling, allowing patients to stockpile fewer pills from one prescription to a subsequent prescription. Fifth, we varied our definition of statin termination to include those with no statin fills for 3 months or 9 months. Our final sample consisted of approximately 1.
Of these, 7, Overall, coupon and non-coupon users had similar demographic characteristics, prescription drug utilization, and comorbid conditions. Appendix Figure 1 depicts trends in branded and generic atorvastatin dispensing during the study period among coupon users and non-users. In January , there were approximately , branded prescription transactions without a coupon and a negligible number of branded sales where a coupon was used.
Branded sales remained relatively flat until May , when generic atorvastatin was released. A similar trend for rosuvastatin is shown in Appendix Figure 2 , although a generic formulation of the product was not introduced during the study period. Table 2 depicts differences in utilization, switching, and termination between coupon users on atorvastatin or rosuvastatin and their counterfactual non-coupon counterparts within each group initial, subsequent, non-statin.
Overall, coupon users had similar levels of statin utilization and switching compared to their non-coupon users. At 1 year, initial coupon users were dispensed 0. Differences in termination amplified over time; at 4 years, initial coupon users were Differences in average monthly atorvastatin and rosuvastatin utilization among coupon users and non-users. Compared to initial coupon users, the association between coupon use and statin utilization and switching was similar for subsequent and other coupon users.
However, both subsequent and other coupon users were less likely to terminate statin therapy than initial coupon users: These patterns continued to persist through 4 years of follow up. The cumulative probability of statin termination over time among the four groups is shown in Figure 3. Rates of discontinuation were greatest for non-coupon users. Higher levels of coupon use resulted in higher utilization and a lower probability of switching and termination Table 3. For example, at 3 years, initial coupon users were 5.
All coupon users had consistently lower out-of-pocket costs than non-coupon users Table 4. Differences in average monthly atorvastatin and rosuvastatin expenditures between coupon and non-coupon users. The association between coupon use and total costs differed from those for out-of-pocket costs. Overall, there were negligible differences in monthly average total costs between coupon users and non-coupon users. However, for longer periods of follow-up, this difference decreased and total costs for initial coupon users were very similar to that of non-coupon users.
Repeating our analyses stratified by atorvastatin and rosuvastatin Appendix Tables 1 and 2 with an open cohort of statin patients, patients with no use of mail-order prescription services and patients with limited opioid use Appendix Table 3 did not substantively impact the results from our main analyses. Similarly, allowing for unlimited stockpiling, varying the time period defining termination, and using an alternative method for comorbidity adjustment had little impact on our main results.
In this longitudinal study of statin users among commercially insured incident statin users, those who used a coupon on their first fill were dispensed a similar quantity of pills than non-coupon users over 1 year, but were less likely to have switched statins or to have terminated treatment altogether after 12 months of follow-up. There was a dose-response association present, and these effects increased modestly over time. Our study contributes to a growing evidence-base regarding the effect of drug coupons on drug utilization and expenditures.
One prior report used a hypothetical insurance program and publicly available retail prices for statins to suggest that coupons may lead to lower out-of-pocket costs among patients, but significantly higher costs for insurers due to a reduction in the use of generic products. There are important differences between our approach and these prior studies that may account for these differences, including our use of longitudinal GEE models that account for within-subject correlations over time, as well as our analytic approach that increased comparability across the groups of coupon users and non-users.
In addition to historic concerns that are similar to those regarding direct-to-consumer advertising 6 and the distribution of free medication samples 8 , there are particular provisions in payment policy that preclude the use of coupons for services covered by nearly all federal health care programs. For example, in , a group of trade union health plans sued eight large drug manufacturers claiming that drug coupon programs violate federal bribery laws.
However, in , the Massachusetts legislature created an exception to the law that allowed the use of coupons for branded drugs with no generic equivalent. This also lends added urgency to the issue of drug coupons. Our analyses had several limitations. First, we were unable to determine the dollar amount of the coupon used and therefore, the savings to the consumer, after accounting for coupons. Second, our analysis was limited to individuals filling prescriptions through retail pharmacies, since our data did not include individual-level claims data for transactions filled through mail-order services.
Third, we assumed that the availability of a drug coupon only affects individuals who choose to use such a coupon, even though it is possible that the availability of a coupon affects the broader equilibrium prescription drug prices, formulary assignment, and out-of-pocket costs. Fifth, these data capture only prescriptions paid for and given to an individual patient; therefore we were unable to account for prescriptions that were filled but never picked up.
Sixth, we derived our analytic cohort from a larger cohort of opioid recipients, which may have diminished the generalizability of our findings. However, restricting our analyses to patients with no opioid fills after their incident statin fill had no substantive impact on our main results. Finally, our analyses do not allow determination of whether drug coupons result in lower utilization of generic medications. Despite their increasing use, relatively little is known regarding the effect of drug coupons on consumer behavior.
In the case of statins, we found that drug coupons are associated with greater utilization and lower rates of statin discontinuation and short-term switching. The funding sources had no role in the design and conduct of the study, analysis, or interpretation of the data and preparation or final approval of the manuscript prior to publication. The authors gratefully acknowledge Christine Buttorff for comments on an earlier manuscript draft.
This arrangement has been reviewed and approved by Johns Hopkins University in accordance with its conflict of interest policies. The statements, findings, conclusions, views, and opinions contained and expressed in this article are based in part on data obtained under license from the following IMS Health Incorporated information service s: The statements, findings, conclusions, views, and opinions contained and expressed herein are not necessarily those of IMS Health Incorporated or any of its affiliated or subsidiary entities.
National Center for Biotechnology Information , U. Author manuscript; available in PMC Jan 1. Kevin R.
Top 15 Most Popular Coupon Websites | January 2019
Digital coupons delivered via email and accessed through a mobile device typically have a redemption rate of 2 percent or less.
In this article you will learn the parts that make up a discount, the conditions and types of discounts you can use, and how to link them together to gain even more control of how your discount is offered. This is useful to increase traffic to your website and increase cart size and conversions, or move old stock as well as build stronger relationships with your customers. In Neto, discounts and coupons consist of several parts that work together depending on what you want to discount, and how you want the discount to be calculated. Here you will enter a title and subtitle for your discount that will be visible to customers.
Top 15 Most Popular Coupon Websites | January 2019
Coupons will drive customers to your business. So the question is not whether you should use coupons, but instead: How can you use coupons strategically to grow your business without giving up too much of your profit margin? The biggest con of using coupons is that they cost you money. Any discount you offer will mean less money in your pocket. The key is to calculate whether that discount will make a difference to your profit margin by introducing new customers to your store or bringing back old customers who may have gone elsewhere chasing other coupons. Even your regular customers can get in the habit of waiting for coupons, which cannibalizes income that was already being generated before you introduced the coupon program.
The Pros & Cons Of Using Coupons For Your Business
In marketing, a coupon is a ticket or document that can be redeemed for a financial discount or rebate when purchasing a product. Customarily, coupons are issued by manufacturers of consumer packaged goods or by retailers, to be used in retail stores as a part of sales promotions. They are often widely distributed through mail, coupon envelopes, magazines, newspapers, the Internet social media, email newsletter , directly from the retailer, and mobile devices such as cell phones. Since only price conscious consumers are likely to spend the time to claim the savings, coupons function as a form of price discrimination , enabling retailers to offer a lower price only to those consumers who would otherwise go elsewhere. In addition, coupons can also be targeted selectively to regional markets in which price competition is great. He transformed Coca-Cola from an insignificant tonic into a profitable business by using advertising techniques. Candler's marketing included having the company's employees and sales representatives distribute complimentary coupons for Coca-Cola. The company gave soda fountains free syrup to cover the costs of the free drinks. It is estimated that between and one in nine Americans had received a free Coca-Cola, for a total of 8,, free drinks.
Register an Xfinity Coupon and Check Your Balance
Print coupons are still very popular, but digital coupons offer some distinct advantages for both shoppers and retailers. For retailers, the new digital coupons promote customer loyalty, just like print ones. Unlike the print coupons, though, automatic digital coupons like the ones now offered to Fareway customers see a very high conversion rate. Retailers can really zero in on high-spending shoppers and entice them to buy products not on their usual shopping list. A study by Quotient Technology Inc. Digital coupons also summon a desired consumer base:
Article.com Promo Codes
Point of Sale will create a coupon bar code to give discounts to specific customers for specific items. The Price Manager doesn't allow the option to choose if we would like the coupon to only apply to a specific item, or to to all items on a Sales Receipt. Many retailers do not want coupons to apply to all items. For example: Currently we are looking at larger impact issues that affect a larger group of people. This issue may be addressed later on if time permits or the impact becomes larger. You must sign in to vote, reply, or post.
Why are more retailers investing in digital coupons?
What else can you redeem with your petrol points? Porsche delivers 55, vehicles in Q1. Grab's new funding aimed at innovative products. Get rid of your years old cars now! Login Sign up. Popular Articles. Coupons Articles 7 listings. Articles related to your keywords:
In , U. But new research suggests that unredeemed coupons are highly valuable.
Unused Coupons Still Pay Off
Other stories about Coupons 3 Black Friday and Cyber Monday insider secrets stores don't want you to know The holiday shopping weekend coming up, better known as Black Friday and Cyber Monday, has some amazing deals, but even with all the sales Tips November 10, Free product samples sent right to you What's the best way to test out a new product? Free samples, of course. Find free samples, contests and coupons for top brands online Cool Sites October 30, Top 5 free coupon sites that'll save you big money Looking for some easy ways to save money while shopping online? These five useful online coupon code sites will help you get back cash Cool Sites October 10, Get great deals on Amazon with coupons We're not sure of what your plans are for the next few days, what with the July 4th holiday on the horizon. If you
Using Coupon Codes
Coupon codes are different from other promotions like sale pricing and cart-level discounts in that they require shoppers to enter a predetermined code or phrase at checkout. Only one coupon can be used per order. Coupon codes are not case sensitive. Want to advertise your coupon code on your site? By clicking the Action icon to the right of the coupon, you will have the following options:. To permanently delete a coupon code, check the box next to its name, then click the Trash can. Your existing and sample coupon codes will be displayed. When does the coupon expire?
Customers who receive the coupon code can apply it during checkout. To learn more about coupons and other promotional methods, see Promoting your products with social media. Create coupons Create coupon codes to offer discounts to customers. Log in to your GoDaddy account and open your product. Need help opening your product? From the Promote tab, click Coupons. Click Add Coupon. Fill in the fields as needed: Create Coupon Fields What to do Coupon code Enter your own or click Get a code to generate and insert a number. You can create up to codes.VIDEO ON THEME: Penny Toilet Paper?! Dollar General Digital Coupons