National trends in prescription drug expenditures and projections for 2018

American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists
Glen T SchumockLee C Vermeulen

Abstract

Historical trends and factors likely to influence future pharmaceutical expenditures are discussed, and projections are made for drug spending in 2018 in nonfederal hospitals, clinics, and overall (all sectors). Drug expenditure data through calendar year 2017 were obtained from the IQVIA (formerly QuintilesIMS) National Sales Perspectives database and analyzed. New drug approvals, patent expirations, and other factors that may influence drug spending in hospitals and clinics in 2018 were also reviewed. Expenditure projections for 2018 for nonfederal hospitals, clinics, and overall (all sectors) were made based on a combination of quantitative analyses and expert opinion. Total U.S. prescription sales in the 2017 calendar year were $455.9 billion, a 1.7% increase compared with 2016. The top drug based on expenditures was adalimumab ($17.1 billion), followed by insulin glargine and etanercept. Prescription expenditures in nonfederal hospitals totaled $34.2 billion, a 0.7% decrease in 2017 compared with 2016. Expenditures in clinics increased 10.9%, to a total of $70.8 billion. The decrease in spending in nonfederal hospitals was driven by lower utilization. The top 25 drugs by expenditures in nonfederal hospitals and clinics wer...Continue Reading

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Citations

Jun 15, 2019·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Glen T SchumockLee C Vermeulen
Jul 14, 2020·Expert Review of Pharmacoeconomics & Outcomes Research·Hussain Abdulrahman Al-OmarIbrahim Abdulrahman Aljuffali
Jul 20, 2020·International Journal of Cancer. Journal International Du Cancer·Marie Joelle JabagiRosemary Dray-Spira
Apr 1, 2020·Journal of Managed Care & Specialty Pharmacy·Shubha BhatFrancis A Farraye
Nov 15, 2019·Applied Health Economics and Health Policy·Paula M MurrayJessica Arias
Aug 30, 2020·Journal of Analytical Toxicology·Pietro BrunettiAlfredo Fabrizio Lo Faro
Feb 14, 2021·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Julie A GroppiVirginia Torrise
Sep 18, 2020·Value in Health : the Journal of the International Society for Pharmacoeconomics and Outcomes Research·Ahmad ShakeriMina Tadrous

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