Table 5.

Out-of-pocket costs per user per month for chronic kidney disease mineral and bone disorder

	All		Without LIS		With LIS		All
Medication	No. of users	Costs ($)	No. of users	Costs ($)	No. of users	Costs ($)	No. of users	Costs ($)
2007
All Part D medications	156,940	36.16	41,796	113.34	115,144	8.15	156,940	36.16
Phosphate binders	127,351	9.05	30,481	33.04	96,870	1.50	127,351	9.05
Calcium acetate	62,435	4.42	15,880	14.09	46,555	1.12	62,435	4.42
Lanthanum carbonate	20,587	6.62	4247	28.63	16,340	0.90	20,587	6.62
Sevelamer carbonate	0	0	0	0	0	0	0	0
Sevelamer hydrochloride	80,873	9.15	17,586	37.63	63,287	1.24	80,873	9.15
Sevelamer (any)	80,873	9.15	17,586	37.63	63,287	1.24	80,873	9.15
Oral Vitamin D analogue	13,644	3.71	3633	12.16	10,011	0.65	13,644	3.71
Calcitriol	8753	1.44	2408	4.39	6345	0.32	8753	1.44
Doxercalciferol	3787	6.32	948	21.93	2839	1.11	3787	6.32
Paricalcitol	1874	7.54	501	25.55	1373	0.97	1874	7.54
Calcimimetic
Cinacalcet	50,679	10.82	9038	54.29	41,641	1.38	50,679	10.82
2008
All Part D medications	167,651	37.54	46,055	115.44	121,596	8.03	167,651	37.54
Phosphate binders	136,464	10.66	33,237	38.96	103,227	1.54	136,464	10.66
Calcium acetate	65,517	5.40	16,975	17.66	48,542	1.11	65,517	5.40
Lanthanum carbonate	20,280	7.96	3935	37.11	16,345	0.95	20,280	7.96
Sevelamer carbonate	9601	5.11	2083	21.97	7518	0.43	9601	5.11
Sevelamer hydrochloride	84,539	10.53	18,552	43.31	65,987	1.32	84,539	10.53
Sevelamer (any)	87,964	10.68	19,403	43.77	68,561	1.31	87,964	10.68
Oral Vitamin D analogue	15,293	4.52	4253	14.47	11,040	0.68	15,293	4.52
Calcitriol	9868	1.55	2854	4.54	7014	0.33	9868	1.55
Doxercalciferol	3832	8.12	950	29.24	2882	1.17	3832	8.12
Paricalcitol	2441	9.29	686	30.33	1755	1.07	2441	9.29
Calcimimetic
Cinacalcet	56,368	12.46	10,368	61.29	46,000	1.46	56,368	12.46
2009
All Part D medications	176,374	37.37	49,277	112.46	127,097	8.26	176,374	37.37
Phosphate binders	143,040	9.01	34,924	32.68	108,116	1.36	143,040	9.01
Calcium acetate	67,737	3.15	17,920	10.23	49,817	0.60	67,737	3.15
Lanthanum carbonate	19,917	7.70	3579	38.44	16,338	0.97	19,917	7.70
Sevelamer carbonate	42,153	8.07	10,261	30.15	31,892	0.97	42,153	8.07
Sevelamer hydrochloride	69,178	8.40	13,782	37.08	55,396	1.27	69,178	8.40
Sevelamer (any)	92,857	9.92	20,388	40.24	72,469	1.39	92,857	9.92
Oral Vitamin D analogue	16,737	5.07	4600	16.50	12,137	0.75	16,737	5.07
Calcitriol	10,496	1.63	3044	4.72	7452	0.37	10,496	1.63
Doxercalciferol	3989	9.18	927	35.44	3062	1.23	3989	9.18
Paricalcitol	3135	9.95	871	32.89	2264	1.12	3135	9.95
Calcimimetic
Cinacalcet	56,599	13.52	10,539	65.93	46,060	1.53	56,599	13.52
2010
All Part D medications	187,163	37.39	52,179	111.51	134,984	8.74	187,163	37.39
Phosphate binders	151,309	8.60	36,553	31.18	114,756	1.40	151,309	8.60
Calcium acetate	71,171	3.18	18,941	10.41	52,230	0.56	71,171	3.18
Lanthanum carbonate	17,860	7.89	3155	39.73	14,705	1.06	17,860	7.89
Sevelamer carbonate	80,452	9.00	17,708	36.09	62,744	1.36	80,452	9.00
Sevelamer hydrochloride	35,901	5.83	5648	31.57	30,253	1.02	35,901	5.83
Sevelamer (any)	100,079	9.33	21,322	38.33	78,757	1.47	100,079	9.33
Oral Vitamin D analogue	18,584	5.63	5130	18.21	13,454	0.84	18,584	5.63
Calcitriol	11,813	1.63	3383	4.72	8430	0.39	11,813	1.63
Doxercalciferol	4135	11.32	977	43.43	3158	1.39	4135	11.32
Paricalcitol	3813	10.12	1083	32.34	2730	1.30	3813	10.12
Calcimimetic
Cinacalcet	58,206	15.06	10,954	72.73	47,252	1.69	58,206	15.06

LIS, low-income subsidy.