198. PRESCRIPTION PATTERN AND MEDICAL EXPENSES IN EXECUTIVE PSYCHIATRIC CLINIC - RSUD DR. CHASBULLAH ABDULMADJID (TYPE B GOVERNMENT HOSPITAL) BEKASI CITY INDONESIA - PERIOD MARCH – NOVEMBER 2024

Abstract Background “Shopping is cheaper than a psychiatrist” - this quote is not absolute in low and middle income countries for example Indonesia. The budget for mental health in Indonesia only 1% of the national health budget whereas mental health requires priority. People also think go to psychiatrist is expensive, although it can be covered by national health insurance and in fact seeking psychiatric treatment with private payment is still affordable in Indonesia. Aims & Objectives This study aims to show the pattern of medications prescriptions and medical expenses in Executive Psychiatric Clinic Type B Government Hospital Bekasi City Indonesia since it opened in March 2024. Method Data collection from patient visits based on age, gender, diagnosis, medical prescription and expenses in Executive Psychiatric Clinic Type B Government Hospital Bekasi City Indonesia since March until November 2024. Results From 84 total visitations, most of patients were female, productive age, five most prevalent diagnosis were depression, anxiety, bipolar, schizophrenia and insomnia. The most commonly prescribed medications were antidepressants (Vortioxetine, Escitalopram, Fluvoxamine, Mirtazapine, Duloxetine), antipsychotics (Brexpiprazole, Cariprazine, Aripiprazole, Quetiapine IR, Sulpiride) and non-benzodiazepines (Lemborexant). The payment methods with personal pay, company insurance and private insurance with monthly average cost was 1.000.000 Indonesian Rupiah (IDR) / 63 USD / 98 AUD including administration and consultation (235.000 IDR / 15 USD / 23 AUD) while the remaining for medications. Discussion & Conclusions The coverage expenses for Psychiatric Clinic Type B Hospital with Indonesian national health insurance using Indonesia Case Base Groups (INA-CBGs) per month is 196.100 IDR / 12 USD / 20 AUD for consultation and medications (7 days to hospital) and the rest 23 days is fee for service. In comparison, the expenses at Executive Psychiatric Clinic Type B Government Hospital Bekasi City Indonesia are five times higher than national health insurance could cover to the hospital. And indeed each payment system has its own advantages and disadvantages. The price comparison may seem high but it will be very beneficial for those who choose to seek psychiatric treatment in Psychiatric Executive Clinic due to the convenience, duration of consultation, choice of medications and outcomes.