virginia adap data report december 2008 anne giuranna rhodes department of epidemiology and...
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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