Virginia ADAP Data Report December 2008 Anne Giuranna Rhodes Department of Epidemiology and Community Health Virginia Commonwealth University.

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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 YearTotal 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 2008 Persons and Medications

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 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 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 persons $ 22,591 Antihyperglycemics Antilipidemics 238 persons $ 144,855 Anti-depressants 305 persons $ 48, persons $ 45, persons $ 691 Anti-anxiety Anti-psychoticsBi-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