Specialty Drugs are Forecasted to be 50 Percent of All Drug Expenditures in 2018 in Compendium Blog, S. Johnson No external funding provided for this research 1 , B. Gunderson1 , K. Bowen1 , C. I. Starner1, 2 , P. P. Gleason1, 2 Prime Therapeutics, Eagan, MN, USA; 2 University of Minnesota College of Pharmacy, Minneapolis, MN, USA
Conclusions: • Currently approximately four of five prescriptions are filled with a generic drug at a cost of less than $20. In the coming years, new generic drug market entrants are limited. • Due to the increased use of generics, continued pharmaceutical manufacturer annual double digit price increases, increasing utilization, and future pipeline of new specialty drugs, specialty drug expenditures are expected to be 50 percent of all drug expenditures by 2018. • The current top specialty category is autoimmune with the top expenditure drug on both the medical and pharmacy benefits. Health insurers and pharmacy benefit managers will need to focus initially on the autoimmune category to ensure expenditures are managed. • Health insurers will need to increase their vigilance of specialty drugs and focus on four management opportunities: drug distribution channel, utilization management, contracting activities, and coordination of care.
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