Express Scripts 2007 Drug Trend Report

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Exhibit 10 Top 10 Nonspecialty Therapy Classes for Ages 0 to 17 and Ages 18 to 44 Ranked by 2007 PMPY Cost Therapy Class Ages 0 to 17 Ages 18 to 44 PMPY Cost 2007 2007 Trend Therapy Class PMPY Cost Trend 1 Antiasthmatics $40.94 11.2% 1 Antidepressants $50.10 -5.6% 2 Stimulants/Antiobesity $34.70 8.9% 2 Contraceptives $37.71 11.1% 3 Dermatologicals $19.17 7.5% 3 Anticonvulsants $30.68 18.6% 4 Antipsychotics $13.29 13.2% 4 Gastrointestinals $28.92 -1.6% 5 Cephalosporins $11.81 3.1% 5 Antivirals $24.86 11.3% 6 Anticonvulsants $11.78 5.8% 6 Antiasthmatics $23.45 12.8% 7 Antihistamines $10.63 3.4% 7 Dermatologicals $21.83 9.9% 8 Penicillins $ 8.42 -8.1% 8 Narcotic Analgesics $21.03 13.3% 9 Macrolides $ 6.67 -7.2% 9 Antidiabetics $17.29 13.7% 10 Gastrointestinals $ 6.07 8.9% 10 Antihyperlipidemics $16.65 -9.2% For adults aged 45 years to 64 years, PMPY cost trend decreased for the top three therapy classes: antihyperlipidemics, gastrointestinals and antidepressants. Costs grew at double digits for antidiabetics, antiasthmatics, narcotic analgesics, anticonvulsants and antivirals. Trend A similar pattern was seen among adults aged 65 years and older, with costs increasing for every class except antihyperlipidemics, antidepressants and calcium blockers. PMPY cost trend grew by double digits for antihypertensives, antidiabetics and antiasthmatics. Exhibit 11 Top 10 Nonspecialty Therapy Classes for Ages 45 to 64 and Ages 65 and Older Ranked by 2007 PMPY Cost Therapy Class Ages 45 to 64 PMPY Cost Ages 65 and Older 2007 2007 Trend Therapy Class PMPY Cost Trend 1 Antihyperlipidemics $162.73 -9.4% 1 Antihyperlipidemics $303.02 -10.7% 2 Gastrointestinals $110.95 -0.1% 2 Gastrointestinals $188.02 1.4% 3 Antidepressants $ 98.59 -2.5% 3 Antihypertensives $168.31 10.4% 4 Antidiabetics $ 93.92 14.6% 4 Antidiabetics $148.00 17.1% 5 Antihypertensives $ 84.49 8.1% 5 Antiasthmatics $114.99 13.8% 6 Antiasthmatics $ 56.85 12.0% 6 Misc. Endocrines $ 92.88 3.7% 7 Narcotic Analgesics $ 49.68 13.6% 7 Misc. Hematologicals $ 73.25 6.4% 8 Anticonvulsants $ 45.67 15.6% 8 Antidepressants $ 71.70 -1.5% 9 Antivirals $ 34.13 16.4% 9 Beta Blockers $ 69.44 2.8% 10 Misc. Endocrines $ 29.02 0.9% 10 Calcium Blockers $ 64.09 -11.2% 12 express scripts 2007 drug trend report
Gender The use of prescription drugs also varies by gender. Females are more likely than males to use prescription drugs. Additionally, females use more prescription drugs — with females in our 2007 sample averaging 16.7 prescriptions PMPY, compared to 12.6 for males. Although not as dramatic as the differences among age groups, both PMPY spending and trend differed for males and females. On average, female spend was about 20% higher than male spend, and females had a trend of 5.1%, compared to 4.4% for males. Exhibit 12 PMPY Spending and Trend for Females and Males 2006 to 2007 Females Trend = 5.1% Males Trend = 4.4% 2007 PMPY 2006 PMPY $0 $200 $400 $600 $800 $1,000 Eight of the top 10 nonspecialty therapy classes for females also were among the top 10 for males. In the top 10 for females — but not for males — were miscellaneous endocrines and contraceptives. In the top 10 for males only were antivirals and stimulants/antiobesity agents. The mix and contribution to trend differed, as shown in Exhibit 13. Trend Exhibit 13 Top 10 Nonspecialty Therapy Classes for Females and Males Ranked by 2007 PMPY Cost Therapy Class Females PMPY Cost Males 2007 2007 Trend Therapy Class PMPY Cost Trend 1 Antidepressants $78.30 -2.6% 1 Antihyperlipidemics $101.46 -7.9% 2 Gastrointestinals $68.81 1.1% 2 Antidiabetics $ 57.41 16.0% 3 Antihyperlipidemics $66.26 -10.6% 3 Gastrointestinals $ 56.98 0.8% 4 Antiasthmatics $49.13 11.9% 4 Antihypertensives $ 49.20 9.6% 5 Antidiabetics $42.05 15.8% 5 Antiasthmatics $ 42.28 13.8% 6 Antihypertensives $41.41 9.6% 6 Antidepressants $ 34.12 -4.8% 7 Anticonvulsants $39.87 19.0% 7 Antivirals $ 26.80 13.8% 8 Misc. Endocrines $31.45 2.4% 8 Narcotic Analgesics $ 24.70 11.7% 9 Contraceptives $31.19 -2.6% 9 Anticonvulsants $ 23.37 -7.9% 10 Narcotic Analgesics $29.16 1.1% 10 Stimulants/Antiobesity $ 22.30 16.0% express scripts 2007 drug trend report 13
Page 1: Trend Express Scripts 2007 Drug Tre
Page 4 and 5: Overall Drug Trend For 2007, overal
Page 6 and 7: As shown in Exhibit 6, narcotic ana
Page 8 and 9: Utilization For nonspecialty drugs,
Page 12 and 13: New Drugs In 2007, the contribution
Page 14 and 15: Exhibit 17 Changes in Member and Pl
Page 16 and 17: The adjusted rate of switching to a
Page 18: Notes Trend 20 express scripts 2007

Express Scripts 2007 Drug Trend Report

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