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Presented by Terance Woodworth, M.S. at the September 9, 2003 meeting of the Anesthetic and Life Support Drugs Advisory Committee.

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Presentation on theme: "Presented by Terance Woodworth, M.S. at the September 9, 2003 meeting of the Anesthetic and Life Support Drugs Advisory Committee."— Presentation transcript:

1 Presented by Terance Woodworth, M.S. at the September 9, 2003 meeting of the Anesthetic and Life Support Drugs Advisory Committee

2 Estimates of U.S. Consumption Morphine (sale) (Kg) ARCOS (sales at the retail level) Year-End Reports (distributions by dosage form manufacturers) IMS Health, IMS National Sales Perspectives™ Extracted August 2003 Aggregate Production Quotas

3 Estimates of U.S. Consumption Hydrocodone (sale) (Kg) ARCOS (sales at the retail level) Year-End Reports (distributions by dosage form manufacturers) IMS Health, IMS National Sales Perspectives™ Extracted August 2003 Aggregate Production Quotas

4 Estimates of U.S. Consumption Oxycodone (sale) (Kg) ARCOS (sales at the retail level) Year-End Reports (distributions by dosage form manufacturers) IMS Health, IMS National Sales Perspectives™ Extracted August 2003 ( total kg dispensed) Aggregate Production Quotas

5 Consequences of Increased Availability Morphine Drug Abuse Warning Network IMS Health, National Prescription Audit Plus™ (DAWN Emergency Department Mentions) 1500 1200 900 600 300 0 Total Prescriptions Dispensed (per 100,000 pop.) DAWN Mentions per 100,000 scripts

6 Consequences of Increased Availability Hydrocodone (DAWN Emergency Department Mentions) Drug Abuse Warning Network I MS Health, National Prescription Audit Plus™ 40,000 32,000 24,000 16,000 8,000 0 Total Prescriptions Dispensed (per 100,000 pop.) DAWN Mentions per 100,000 scripts

7 Consequences of Increased Availability Oxycodone (DAWN Emergency Department Mentions) 15,000 12,000 9,000 6,000 3,000 0 Total Prescriptions Dispensed (per 100,000 pop.) Drug Abuse Warning Network IMS Health, National Prescription Audit Plus™ DAWN Mentions per 100,000 scripts

8 Morphine Hydrocodone Oxycodone Consequences of Increased Availability DAWN Mentions per 100,000 scripts Linear Regression Trend line Attachment G

9 State and Local Seizures of Opioids Source: National Forensic Laboratory Information System (NFLIS) 2000 2001 2002 2003 * * As of 8/27/03 Attachment H

10 Promotional Expenditures vs Dollar Sales IMS IPS and NSP Audits* $0 $200,000 $400,000 $600,000 $800,000 $1,000,000 $1,200,000 $1,400,000 $1,600,000 $1,800,000 Actiq Avinza Duragesic Kadian MSContin OxyContin Dollars in Thousands 2002 Total Promotional Dollars 2002 Total Dollars Sales NSP *IMS Health, IMS National Sales Perspectives™, Extracted August 2003 IMS Health, Integrated Promotional Services Audit™, Extracted August 2003


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