|Originally Posted By TheGrayMan:
Originally Posted By Rodent:
It's expensive, it has a limited shelf-life, and it's hardly ever needed.
Yep... like $2000-per-vial expensive... and a symptomatic bite will frequently require 10-12 vials minimum... some require much more.
And plenty of people who get themselves bitten? A lot of them are uninsured. Also, if they have an upper-extremity bite, they're also frequently drunk.
I don't know what the reimbursement is like for a snake-bite injury in an insured patient (it's been a while since I've had one, frankly...), but I wouldn't be surprised if the hospital thought it was too expensive to keep the stuff on-hand. They might be better-off financially to transfer that patient to a center that does stock the anti-venom, so that the larger facility can eat the loss.
In my worst month, I treated three symptomatic rattlesnake bites, and since I was on the P&T committee for the hospital, I was treated to a lot of complaining from the pharmacy folks.
It seems I blew their budget for the month.
Funny how everything comes down to money .