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Prescription drug sales by state

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In the United States, there are more than 10,000 FDA-approved medicines available for doctors to prescribe or individuals to purchase over-the-counter. A major target of state healthcare cost-containment efforts is the price of these medicines. Prescription drugs generated a total of $259 billion in sales at retail pharmacies nationwide in 2014. Since generics tend to be significantly less expensive than their brand name equivalents, all states allow pharmacists to dispense generics in place of brand name drugs for prescriptions. This practice is required in 13 states, except when a brand name drug is specifically ordered by a physician.[1][2][3][4][5]

Additionally, state Medicaid programs typically take a number of steps to control spending on pharmaceuticals. Most common are establishing preferred drug lists, which are prescription drugs that are automatically covered by the program, and negotiating rebates with manufacturers for both brand name and generic drugs.[6]

The table below provides information on the number of prescription drugs sold in each state and the total amount of sales. It also divides the numbers into per capita figures by age and gender. These totals do not include medications sold over-the-counter.

Prescription drugs filled at retail pharmacies, 2014
State Total sales for retail Rx drugs Total number retail Rx drugs Number per capita by age Number per capita by gender
Ages 0-18 Ages 19-64 Ages 65+ Male Female
Alabama $5,166,108,990 84,280,150 5.6 17.6 36.1 14.3 20.5
Alaska $469,083,960 5,571,499 2.3 8.7 18.4 6.1 9.6
Arizona $4,278,588,288 81,685,216 3.7 13.2 23.6 9.9 14.7
Arkansas $2,574,605,619 47,103,260 5.3 16.3 31.8 12.7 19
California $29,716,410,437 445,835,829 3.2 11.1 31.4 9.6 13.7
Colorado $3,286,954,651 54,829,337 3.5 11 21.9 8.3 12.6
Connecticut $3,379,576,313 38,222,125 3.1 10.1 24.1 9 12.2
Delaware $1,055,119,704 13,626,430 6.4 15.2 25.3 12.2 17.1
District of Columbia $612,763,760 5,742,775 2.3 8.6 21.8 7.3 10.4
Florida $15,583,530,624 248,850,279 4.1 11.8 25.9 10.8 14.6
Georgia $7,963,555,676 126,152,436 4.1 12.5 32.2 10.3 15
Hawaii $1,028,794,409 15,627,633 4 11.3 23.5 10.3 12.6
Idaho $1,128,452,081 19,858,568 3.4 13 27.1 9.7 14.9
Illinois $9,878,415,334 156,296,507 4.4 11.9 26.6 10 14.2
Indiana $5,617,103,612 90,154,926 3.8 14.2 29.7 10.8 16.5
Iowa $2,542,412,468 46,142,631 6.6 14.3 28 12.1 17.6
Kansas $2,250,696,530 36,681,075 4 13.2 26.6 10.1 15.4
Kentucky $4,887,411,119 93,941,118 6.8 22.3 42.5 17.5 25.2
Louisiana $4,048,638,418 66,620,022 6 14.1 31.6 11.6 17.1
Maine $1,524,339,669 22,284,809 5.7 16.6 30.3 14.2 19.2
Maryland $5,127,788,039 61,796,878 3.5 10.4 22.7 8.6 12.2
Massachusetts $4,902,066,827 73,991,445 3.2 10.6 24.6 9.5 12.5
Michigan $8,150,734,636 130,727,767 4.3 13.8 25 10.9 15.4
Minnesota $3,763,685,352 64,011,293 3.7 11.8 26.1 9.4 14.1
Mississippi $2,907,188,312 52,221,675 6.7 17.2 39 14.1 20.8
Missouri $4,930,210,636 75,688,364 3.7 12.6 25.5 10.1 14.8
Montana $684,443,486 11,968,494 3.4 11.6 24.8 9.1 14.3
Nebraska $1,624,658,438 28,296,086 5.3 15 34.1 11.8 18.4
Nevada $1,904,342,517 32,924,764 2.9 12.5 25.5 9.8 13.9
New Hampshire $1,078,942,773 19,663,451 6 15.2 26.4 12.4 17.2
New Jersey $8,362,644,109 105,024,878 4.4 11.1 27 10 13.5
New Mexico $978,212,637 20,485,241 3.4 10.3 19.4 8 11.7
New York $20,169,994,895 255,645,810 4.4 12.5 28.9 10.9 15
North Carolina $8,023,718,979 102,887,597 3.5 10.5 22.4 8.6 12.4
North Dakota $692,085,403 9,858,121 4.5 12.4 32.1 11.3 16.3
Ohio $10,125,964,465 184,814,413 4.8 16.6 31.3 12.9 18.9
Oklahoma $3,143,563,583 45,946,666 4.4 11.8 26.4 9.8 14.2
Oregon $2,943,013,659 56,329,817 4 14.9 27.3 11.3 17.3
Pennsylvania $11,515,971,765 183,237,833 4.2 13.7 30.1 11.7 16.8
Rhode Island $737,649,190 13,868,120 3.4 12.6 29.5 11.3 15.1
South Carolina $4,307,039,712 65,020,119 4.8 13.5 28.5 11.1 16.2
South Dakota $724,263,599 11,552,212 4.7 12.9 31.8 11 16.1
Tennessee $7,119,622,399 121,405,915 5.4 19.1 39 15.1 22.2
Texas $17,648,188,189 228,035,987 4 8.4 21.4 7.1 10.2
Utah $1,774,989,072 31,777,134 3.2 12.8 26 8.6 13.2
Vermont $700,512,585 10,461,699 5.9 16.7 30.2 13.9 19.4
Virginia $6,067,364,675 97,240,370 3.7 11.8 27 9.7 14.1
Washington $4,620,217,239 91,965,000 3.8 14.1 26.4 10.5 16
West Virginia $2,381,998,964 39,623,231 6 21.8 38.9 17.4 25.2
Wisconsin $4,538,721,145 68,823,846 4 12.1 24.3 9.7 14
Wyoming $450,517,343 7,860,899 4.1 13.9 28.5 10.5 16.3
United States $259,092,876,285 4,002,661,750 4.1 12.6 27.9 10.4 14.9
Note: "These totals include prescriptions filled at pharmacies only and a small portion of over-the-counter medications and repackagers and exclude those filled by mail order."
Source: The Henry J. Kaiser Family Foundation, "State Health Facts"

Healthcare policy in the 50 states

Click on a state below to read more about healthcare policy in that state.

http://ballotpedia.org/Healthcare_policy_in_STATE

See also

Footnotes

  1. ↑ National Conference of State Legislatures, "Use of Generic Prescription Drugs and Brand-Name Discounts," June 2010
  2. ↑ The Henry J. Kaiser Family Foundation, "Total Retail Sales for Prescription Drugs Filled at Pharmacies," accessed July 21, 2015
  3. ↑ The Henry J. Kaiser Family Foundation, "Total Number of Retail Prescription Drugs Filled at Pharmacies," accessed July 21, 2015
  4. ↑ The Henry J. Kaiser Family Foundation, "Retail Prescription Drugs Filled at Pharmacies (Annual per Capita by Age)," accessed July 21, 2015
  5. ↑ The Henry J. Kaiser Family Foundation, "Retail Prescription Drugs Filled at Pharmacies (Annual per Capita by Gender)," accessed July 21, 2015
  6. ↑ National Conference of State Legislatures, "Prescription Drug Agreements and Volume Purchasing," June 2010
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