Table 1.

Prescription Drug Expenditures and Growth by Sector in 2020

Sectora	2020 Expenditures ($ Millions)	Percent of Total Expenditures	Percent Change from 2019
Retail pharmacies	228,121	42.6	3.4
Mail-order pharmacies	145,313	27.1	9.4
Clinics	98,426	18.4	8.1
Nonfederal hospitals	35,353	6.6	–4.6
Long-term care	14,525	2.7	–7.7
Home health care	7,413	1.4	13.0
Federal facilities	2,644	0.5	–8.7
Staff-model HMOs	2,258	0.4	7.5
Other	1,224	0.2	–7.2
Total	535,276	100.0	4.9

Abbreviation: HMO, health maintenance organization.

^aRetail pharmacies include standalone chain and independent stores, as well as mass merchandisers and food and convenience stores with a licensed pharmacy. Mail-order pharmacies include licensed mail service pharmacies, including both private-sector and federal facilities. Clinics include physician offices and outpatient clinics, including general and family medicine clinics, specialty clinics covering oncology, nephrology, dialysis, family planning, and orthopedics, as well as urgent care centers. Nonfederal hospitals include all non–federally owned facilities licensed as hospitals, including inpatient treatment and rehabilitation facilities, in addition to general and specialty acute care institutions. Long-term care includes nursing homes and residential care facilities. Staff-model HMOs include closed-panel HMO pharmacies and hospitals, union clinics and pharmacies, and workers’ compensation clinics. Home healthcare includes licensed home health organizations and visiting nurse entities. Federal facilities include Public Health Service and other federal hospitals, and US ships at sea (Veteran’s Health Administration facilities were previously included in the federal facility sector, but data on these expenditures were not available after December 31, 2013). “Other” covers a variety of otherwise unclassified government accounts, as well as entities such as jails, prisons, and veterinary hospitals and clinics.