Transcript VA - ADAP Data Report September 2001

Virginia ADAP Data Report
December 2008
Anne Giuranna Rhodes
Department 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 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
September 2000
December 2000
March 2001
June 2001
September 2001
December 2001
March 2002
June 2002
September 2002
December 2002
March 2003
June 2003
September 2003
December 2003
March 2004
June 2004
September 2004
December 2004
March 2005
June 2005
September 2005
December 2005
March 2006
June 2006
September 2006
December 2006
March 2007
June 2007
September 2007
December 2007
March 2008
June 2008
September 2008
January 2002 to September 2008
Persons and Medications
9,000.00
8,000.00
7,000.00
6,000.00
5,000.00
4,000.00
Number of drugs
Number of Rxs
3,000.00
Number of persons
cost per person
2,000.00
1,000.00
0.00
ADAP and Consortia by Region
April 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 - Medications
Oct 2007 to Sept 2008
• New clients not receiving any
HepC treatment
• New clients more likely to
receive anti-anxiety and antipsychotics, but not antidepressants
• Continuing clients more likely
to receive vaccines, but overall
vaccines appear to be
underutilized
New and Continuing Clients - # of ARVs
July 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
Antihyperglycemics
103 persons
$ 22,591
Anti-depressants
305 persons
$ 48,936
Anti-psychotics
34 persons
$ 45,035
Antilipidemics
238 persons
$ 144,855
Anti-anxiety
36 persons
$ 691
Bi-polar treatment
5 persons
$ 241
New Classes of Drugs: Persons by Month
October 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