Pharmacy fast facts, 09/2012

              Pharmacy Fast Facts
Pharmacy claims data excludes compound claims. Pharmacy User is member using pharmacy services. This publication is authorized by the Oklahoma Health Care Authority in accordance with state and
federal regulations. OHCA is in compliance with the Title VI and Title VII of the 1964 Civil Rights Act and the Rehabilitation Act of 1973. For additional copies, you can go online to OHCA’s website
www.okhca.org under Research/Statistics and Data. The Oklahoma Health Care Authority does not discriminate on the basis of race, color, national origin, gender, religion, age or disability
in employment or the provision of services. The data is valid as of the report date and is subject to change. 10/16/2012
September 2012
26,446
17,023
14,886
13,801
12,816
23,216
16,510
14,571
13,415
12,379
0 5,000 10,000 15,000 20,000 25,000 30,000 35,000 40,000
HYDROCODONE-ACETAMINOPHEN
AMOXICILLIN
CETIRIZINE HCL
AZITHROMYCIN
PROAIR HFA
Claim Count
Pharmacy User Count
Top 5 Medications by Claims
Total Reimbursement
Amount
Number of Paid
Prescriptions
Average Reimbursement
per Prescription
Dispensing
Rate
Generic $10,745,702 453,051 $24 89%
Brand Name $19,474,454 57,507 $339 11%
Total $30,220,156 510,558 $59
Utilization of non-drug items is not included.
Spending and Claim Statistics for September 2012
Notes: Per Member Per Month based on Total Enrollment.
$3.30 M $3.79 M $2.92 M $3.07 M $3.90 M $3.26 M
$27.91 M
$34.28 M
$26.00 M $25.41 M
$32.26 M
$26.96 M
$0
$10
$20
$30
$40
Apr-12 May-12 Jun-12 Jul-12 Aug-12 Sep-12
Millions
Traditional Drugs vs. Specialty Drugs
Specialty Drugs Traditional Drugs
Adult
Child
Total
Members Served
(Utilizers)
Numbers of Paid
Prescription
Total
Reimbursement
92,046 278,198 $16,088,111
$14,249,970
$30,338,081
234,583
512,781
111,192
203,238
$41
$50
$38
$37
$47
$39
$30
$35
$40
$45
$50
$55
Apr-12 May-12 Jun-12 Jul-12 Aug-12 Sep-12
Total Pharmacy Reimbursement Per
Member Per Month
764,715 766,431 765,065 767,733 769,503 774,784
198,856 226,380 184,146 179,279 209,397 203,238
0
200,000
400,000
600,000
800,000
1,000,000
Apr-12 May-12 Jun-12 Jul-12 Aug-12 Sep-12
Members Using Pharmacy Services vs. Total Enrollment
Total SoonerCare Enrollment Members Using Pharmacy Services