Table 2. Medicare Part D Utilization for Frequent Repository Corticotropin Injection Prescribers Relative to Their Specialty Peers (2014)a.
| Rheumatology | Neurology | Nephrology | Specialty Totalb | All FPs, (n = 243)c |
|||||
|---|---|---|---|---|---|---|---|---|---|
| FPs (n = 94) |
IPs (n = 4323) |
FPs (n = 55) |
IPs (n = 13 178) |
FPs (n = 54) |
IPs (n = 8030) |
FPs (n = 203) |
IPs (n = 25 531) |
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| Spending, $ | |||||||||
| rACTH spending | 90 893 473 | 88 987 094 | 41 915 298 | 41 036 176 | 32 179 323 | 31 504 401 | 164 988 094 | 161 527 671 | 197 667 746 |
| rACTH pending per prescriber | 966 952 | 20 585 | 762 096 | 3 114 | 595 913 | 3 923 | 812 749 | 6327 | 813 448 |
| Other drug spending | 115 389 913 | 2 496 839 483 | 163 485 548 | 5 805 530 003 | 26 563 026 | 2 135 182 185 | 305 438 486 | 10 437 551 671 | 349 329 447 |
| Other drug spending per prescriber | 1 227 552 | 577 571 | 2 972 465 | 440 547 | 491 908 | 265 901 | 1 504 623 | 408 819 | 1 437 195 |
| Prescriptions, No. | |||||||||
| rACTH prescriptions | 2279 | 2065 | 1052 | 953 | 878 | 796 | 4209 | 3814 | 5042 |
| rACTH prescriptions per prescriber | 24 | 0.5 | 19 | 0.1 | 16 | 0.1 | 21 | 0.2 | 21 |
| Other drug prescriptions | 432 314 | 11 431 881 | 284 208 | 20 601 963 | 178 338 | 15 995 227 | 894 860 | 48 029 071 | 1 087 613 |
| Other drug prescriptions per prescriber | 4599 | 2644 | 5167 | 1563 | 3303 | 1992 | 4408 | 1881 | 4476 |
| Beneficiaries, No.d | |||||||||
| rACTH beneficiaries | 532 | 547 | 392 | 403 | 270 | 277 | 1194 | 1227 | 1446 |
| rACTH beneficiaries per prescriber | 5.7 | 0.1 | 7.1 | 0.03 | 5.0 | 0.03 | 5.9 | 0.05 | 6.0 |
| rACTH prescriptions per beneficiary | 4.3 | 3.8 | 2.7 | 2.4 | 3.3 | 2.9 | 3.5 | 3.1 | 3.5 |
| Other drug beneficiaries | 41 242 | 1 236 676 | 21 726 | 2 394 249 | 14 329 | 1 524 306 | 77 297 | 5 155 231 | 91 444 |
| Other drug beneficiaries per prescriber | 439 | 286 | 395 | 182 | 265 | 190 | 381 | 202 | 376 |
| Other drug prescriptions per beneficiary | 10.5 | 9.2 | 13.1 | 8.6 | 12.4 | 10.5 | 11.6 | 9.3 | 11.9 |
Abbreviations: FP, frequent repository corticotropin prescriber; IP, infrequent repository corticotropin prescriber; rACTH, repository corticotropin.
a
Medicare Part D prescribers with more than 10 rACTH prescriptions.
b
Rheumatology, neurology, nephrology specialty total.
c
Includes 40 prescribers from other specialties.
d
Five beneficiaries imputed for suppressed values and assumes each beneficiary receives prescriptions from 1 prescriber.