Rx Drug Use Up, Spending Down: CBO

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A Congressional Budget Office (CBO) report on trends in nationwide spending on prescription drugs for 1980-2018 finds that since the mid-2000s, per capita spending on prescription drugs has fallen as a percentage of total spending on healthcare services and supplies. The slower growth in spending is associated with the growing availability of generic drugs, the report says.

CBO also looked at trends in spending, use, and prices in the Medicare Part D and Medicaid programs from 2009 to 2018 and found that although per-enrollee spending in Medicare Part D was fairly stable from 2009 to 2018, per-enrollee spending in Medicaid increased somewhat faster than nationwide per capita spending over that period.

The analysis finds that consumers’ use of prescription drugs has increased over time and cites greater use of generic drugs as a key factor in the increase.

The average net price of a prescription drug, calculated after subtracting the discounts and rebates manufacturers provide to private insurers and federal programs, fell from $57 in 2009 to $50 in 2018 in Medicare Part D, and from $63 to $48 in Medicaid. CBO says the trend reflects the increased use of lower-cost generic drugs that was partially offset by rising prices for branded drugs.

The average net price of branded prescription drugs increased over the period studied from $149 to $353 in Medicare Part D and $147 to $218 in Medicaid.

 

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