TABLE 2—
Fee-for-Service Drug Spending on Sofosbuvir, Utilization Criteria, and Medicaid Expansion Decisions, by State: United States, 2014
| State | FFS Drug Spending Accounted for by Sofosbuvir, % | Medicaid Expansiona | Strict Clinical Criteria | Strict Behavioral Criteria | Strict Administrative Criteria |
| Maryland | 0.08 | Y | N | Y | Y |
| Wisconsin | 0.18 | N | N | Y | Y |
| New Hampshire | 0.25 | N | N | N | Y |
| Alaska | 0.27 | N | Y | Y | N |
| West Virginia | 0.28 | Y | Y | Y | Y |
| Iowa | 0.29 | Y | N | Y | Y |
| Oregon | 0.30 | Y | N | Y | Y |
| Pennsylvania | 0.35 | N | N | Y | Y |
| Virginiab | 0.47 | N | N | Y | Y |
| Kentucky | 0.66 | Y | Y | Y | Y |
| Rhode Island | 0.67 | Y | N | Y | Y |
| Delaware | 0.71 | Y | Y | Y | N |
| Mississippi | 0.73 | N | N | Y | Y |
| District of Columbia | 0.76 | Y | Y | Y | Y |
| Arkansas | 0.79 | N | N | N | N |
| Idaho | 0.88 | N | Y | N | Y |
| Colorado | 1.11 | Y | N | Y | Y |
| Washington | 1.19 | Y | Y | Y | Y |
| California | 1.20 | Y | Y | Y | Y |
| Arizona | 1.25 | Y | Y | N | Y |
| Nebraska | 1.25 | N | N | Y | N |
| Louisiana | 1.34 | N | N | Y | Y |
| Utah | 1.41 | N | N | N | N |
| Ohio | 1.64 | Y | N | Y | Y |
| Alabama | 1.77 | N | N | Y | N |
| South Dakota | 1.87 | N | N | Y | Y |
| Illinois | 1.92 | Y | N | Y | Y |
| Vermont | 1.94 | Y | N | Y | N |
| Florida | 2.05 | N | Y | Y | Y |
| North Carolina | 2.10 | N | N | Y | N |
| Wyoming | 2.52 | N | N | Y | N |
| Missouri | 2.77 | N | N | Y | N |
| Maine | 2.84 | N | N | N | Y |
| Minnesota | 3.06 | Y | N | N | N |
| Montana | 3.21 | Y | N | Y | Y |
| Indiana | 3.29 | N | N | N | Y |
| New York | 3.63 | Y | Y | N | Y |
| Oklahoma | 3.73 | N | N | Y | Y |
| Tennessee | 4.44 | N | Y | Y | Y |
| Nevadac | 5.26 | Y | N | N | N |
| Massachusetts | 5.76 | Y | N | N | N |
| Connecticut | 6.68 | Y | N | N | Y |
Note. FFS = fee for service.
a
Y indicates expansion over all 4 quarters of 2014 (excludes states with expansion beginning in 2014 or after).
b
Calculated from 3 quarters of data (data from 2nd quarter excluded as erroneous entry).
c
Did not use prior authorization criteria.