Virginia ADAP Data Report December 2008

Anne Giuranna RhodesDepartment of Epidemiology and Community Health

Virginia Commonwealth University

ADAP Summary:October 2007 to September 2008

• Total clients served 3281 (3339)

• Average cost per prescription – $417 ($308)

• Cost per person per month - $1,263 ($1,062)

• Number of new clients –616 (738)

• Clients accessing anti-depressants – 305 (0)

• Avg. length of time on ADAP (months) – 51.4 (31.9)

* Numbers in parentheses are from 4 years ago (Oct 2003 to Sept 2004)

Value of Filled PrescriptionsValue of Filled Prescriptions

Fiscal Year Total Value

April 2000 to March 2001 $13,283,421

April 2001 to March 2002 $15,662,031

April 2002 to March 2003 $17,143,724

April 2003 to March 2004 $20,312,242

April 2004 to March 2005 $22,481,523

April 2005 to March 2006 $23,818,875

April 2006 to March 2007 $22,694,646

April 2007 to March 2008 $22,200,203

April 2008 to March 2009 (projected) $ 24,413,950

April 2009 to March 2010 (projected) $24,780,159

*Note: Value is not reduced by a) Medicaid back-billing reimbursements, b) Year-end General funds, c) Pharmaceutical company rebates and free goods,

d) Re-dispensing of medications that are dispensed but not picked up

January 2002 to September 2008Persons and Medications

ADAP and Consortia by RegionApril to September 2008

Part B Consortia and VA ADAP:Race/Gender – April 2008 to Sept 2008

Active Clients – September 2008(n=2798)

Active Clients by Region – September 2008(n=2798)

Southwest has seen largest decline in clients over the past 3 years

New and Continuing Clients by Age: Oct 2007 to Sept 2008

• New clients significantly younger, with the average age of clients new to ADAP in the last year = 39.7 years compared to 44.3 for those continuing on ADAP

• 13.7% of continuing clients are over 55, while only 9.0% of new clients are in this age group

New and Continuing Clients - MedicationsOct 2007 to Sept 2008

• New clients not receiving any HepC treatment

• New clients more likely to receive anti-anxiety and anti-psychotics, but not anti-depressants

• Continuing clients more likely to receive vaccines, but overall vaccines appear to be underutilized

New and Continuing Clients - # of ARVsJuly 2008 to Sept 2008

New and Continuing Clients – Total Number of Drugs

July 2008 to Sept 2008

• Average number of drugs 4.5 for new clients, 4.4 for continuing clients

• New clients more likely to get 1 drug only and over 6 drugs

Utilization of New Formulary Drugs:October 2007 to September 2008

103 persons$ 22,591

Antihyperglycemics Antilipidemics

238 persons$ 144,855

Anti-depressants

305 persons$ 48,936

34 persons$ 45,035

36 persons$ 691

Anti-anxiety

Anti-psychotics Bi-polar treatment

5 persons$ 241

New Classes of Drugs: Persons by MonthOctober 2007 to September 2008

Drug Classes by Region:October 2007 to Sept 2008

Specific Drugs by Region:October 2007 to Sept 2008

Number of Antiretrovirals by Region:July to September 2008