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Senior Citizen Health & Medicine

Cardiovascular Drugs Top U.S. Drug Spending; Senior Citizens Buy over Half

Second for seniors - cholesterol-lowering drugs, for all adults - hormones

Feb. 12, 2007 - In 2004, American adults spent $32 billion on cardiovascular drugs and more than half of that spending ($17 billion) was by senior citizens on Medicare. These drugs were at the top of the five costliest classes of drugs prescribed by doctors for people age 18 and over, according to the latest News and Numbers from the Agency for Healthcare Research and Quality.

 

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January 9, 2007 – A sharp deceleration in Medicaid drug spending, changes in therapy regimens, tiered copayment benefit plans, and increased use of generic drugs slowed the rise in prescription drug spending to 5.8 percent in 2005, a dramatic drop from 8.6 percent in 2004 and from 18.2 percent in 1999. Read more...


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The five costliest classes of drugs combined accounted for two thirds – $119 billion – of the $181 billion total expenditures spent on outpatient prescription medications by adults in the United States in 2004.

   ● Hormones were the second-costliest drug class ($25 billion), followed by central nervous system drugs ($24 billion), which can be used to treat pain and control seizures; cholesterol-lowering medications ($22 billion); and antidepressants and other psychotherapeutic drugs ($18 billion).

   ● Among adults who had a prescription drug purchase in 2004, the highest percentage purchased at least one central nervous system drug (44 percent), followed by cardiovascular medications (38 percent), hormones (37 percent), anti-cholesterol drugs (22 percent), and antidepressants (20 percent).

For senior citizens (age 65 and older) in 2004, AHRQ found:

   ● The top five classes were cardiovascular drugs ($17 billion), cholesterol-lowering drugs ($10 billion), hormones ($8 billion), central nervous system drugs ($7 billion), and gastrointestinal drugs ($6 billion). Spending totaled nearly $48 billion.

   ● Expenditures for these drugs accounted for roughly three-quarters of the $65 billion spent on all prescription drugs for Medicare beneficiaries age 65 and older in 2004.

AHRQ, a part of the U.S. Department of Health and Human Services, works to improve the quality, safety, efficiency and effectiveness of health care in the United States. The data in this AHRQ News and Numbers comes from the Agency’s Medical Expenditure Panel Survey, a highly detailed source of information on the health services that Americans use, how frequently they use them, the cost of these services, and how they are paid.

For more information on this AHRQ News and Numbers see The Top Five Therapeutic Classes of Outpatient Prescription Drugs Ranked by Total Expense for Adults in the U.S. Civilian Noninstitutionalized Population, 2004, MEPS Statistical Brief #154; and The Top Five Therapeutic Classes of Outpatient Drugs Ranked by Total Expense for the Medicare Population Age 65 and Older in the U.S. Civilian Noninstitutionalized Population, 2004, MEPS Statistical Brief # 153.

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