Table 1.

Analysis of antihypertensive drug sales in the private pharmaceutical market in India and five states in 2018: Defined daily dose (DDD) per 1000 hypertensive adults per day and estimated proportion of adults with hypertension receiving antihypertensive drugs per day.

Indicators		State-level					All-India
		Kerala	Maharashtra	Telangana	Punjab	Madhya Pradesh
a.	Total anti-hypertensive drug sales (pills in million)*	1800	3669	842	729	805	22,175
b.	Total sales of single molecule drugs in DDDs (in million)*	1058	1630	347	337	332	10,312
c.	Total sales of FDCs in DDDs (in million)*	370	1502	360	299	377	8,675
d.	Prevalence of hypertension among adults (18+ years)	34.5%	24.8%	20%	34.8%	21.9%	25.3%
e.	Estimated number of adults with hypertension in 2018 (in million)	8.9	21.2	5.2	7.4	11.1	220.4
A.	DDDs per 1000 adults with hypertension per day	441	404	372	234	175	236
B.	Proportion of estimated adult hypertensive population receiving anti-hypertensive drugs per day	38.7%	36.9%	34.2%	21.4%	16.1%	21.5%

Note:

* Volume of sales adjusted for 100% sales against 95% coverage of the data set.

Calculations:

1. DDDs per 1000 adults with hypertension per day in 2018 is calculated by dividing total sales in DDDs by the estimated number of adults with hypertension as per the following formula:
   A = (b+c)/e * (1000/365)
2. Proportion of estimated adult population with hypertension receiving antihypertensive drugs per day in 2018 is calculated using a prescription scenario of (PDD:DDD = 1.2) for single molecule drugs and (PDD:DDD = 1) for fixed-dose combination (FDC) drugs as per the following formula:
   B = [(b/1.2)+c]/e * (100/365)