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Projecting future drug expenditures: 2011.

Fred Doloresco1, Cory Fominaya, Glen T Schumock

  • 1Department of Pharmacy Practice, School of Pharmacy and Pharmaceutical Sciences.

American Journal of Health-System Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists
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Summary

Drug spending moderated due to generics and economic factors, with specialized medications seeing cost increases. Projections for 2011 indicate continued growth in outpatient and clinic settings, with slower growth in hospitals.

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Area of Science:

  • Health Economics
  • Pharmaceutical Policy

Background:

  • Drug expenditures are influenced by various market and policy factors.
  • Recent trends show moderation in growth for widely used drugs and increases for specialized medications.

Purpose of the Study:

  • To discuss drug expenditure trends in 2009-2010.
  • To project drug expenditures for 2011.
  • To identify factors influencing future drug spending.

Main Methods:

  • Analysis of historical drug expenditure data (2008-2009).
  • Review of factors impacting drug spending, including generics, health care reform, and biosimilars.
  • Projection of drug expenditure growth for 2011 across different care settings.

Main Results:

  • Total U.S. drug expenditures rose 5.2% from 2008 to 2009.
  • Outpatient and clinic drug expenditures showed moderate to significant growth.
  • Hospital drug expenditures exhibited slower growth, with a 0.8% increase in early 2010.

Conclusions:

  • Projected 2011 drug expenditure increases: 3-5% (outpatient), 4-6% (clinic-administered), 1-3% (hospital).
  • Generic drugs and economic conditions are key drivers of moderated spending growth.
  • Health care reform and biosimilars are emerging trends with potential future impact.