Drug Spending Accelerated Last Year: Report
A new report from IQVIA says drug spending in 2024 accelerated, with net prices growing at an 11.4% rate last year compared with a 4.9% increase in 2023. “Greater use of medicines with significant clinical benefits is driving spending growth, while net price growth is flat,” the report finds. Total prescription medicine use also increased 1.7%, reaching 215 billion days of therapy in 2024, compared to 212 billion days in 2023.
The report also found that retail drugs currently represent 83% of medicine use in the U.S., with only 17% of use in non-retail settings. “The use of prescription drugs dispensed from retail pharmacies has continued to grow at a rate of 3.0% annually, on average, over the last five years but growth slowed to 1.3% in 2024 bringing total market growth down,” it says.
Additionally, 27% of written prescriptions are not filled due to payer rejections and abandonment by patients. The unfilled rate includes 34% in Medicaid, 24% in Medicare, and 28% in commercial insurance. “Payer rejections may be driven by formulary decisions, failure to satisfy prior authorization requirements, refilling too soon or exceeding volume limits, but nearly half of those rejections are overcome either by the patient switching to a secondary insurer, paying cash, or adding a coupon,” the report says.