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. 2021 May 14;2(5):e210393. doi: 10.1001/jamahealthforum.2021.0393

Table. Change in Level and Weekly Growth Rate of Naloxone, Opioid, and All Prescriptions From Prepandemic to During Pandemica.

Characteristic Mean (95% CI)
Average No. of individuals (level) % Changed Weekly growth rate, % (trend)
Prepandemic levelb Pandemic levelb Change in levelc Prepandemic trende Pandemic trende Change in trendf
Individuals filling prescriptions
Naloxone 1371.87 (1288.32 to 1455.42)g 1010.78 (897.09 to 1124.47)g −361.09 (−499.56 to −222.62)g −26.32 −0.07 (−0.31 to 0.19) 0.29 (−0.20 to 0.78) 0.36 (−0.17 to 0.88)
Opioids (in thousands) 2651.46 (2590.49 to 2712.42)g 2420.49 (2322.72 to 2518.26)g −230.97 (−343.93 to −118.01)g −8.71 0.09 (−0.01 to 0.18) −0.15 (−0.33 to 0.04) −0.23 (−0.43 to −0.03)g
All (in tens of thousands) 5915.71 (5809.23 to 6022.19)g 5042.76 (4895.40 to 5190.11)g −872.95 (−1051.36 to −694.54)g −14.79 0.46 (0.37 to 0.54)g −0.11 (−0.25 to 0.02) −0.57 (−0.72 to −0.42)g
Individuals filling naloxone by payer
Medicaid 184.10 (169.46 to 198.74)g 180.94 (163.49 to 198.38)g −3.16 (−25.54 to 19.22) −1.72 −0.55 (−0.82 to −0.29)g 0.05 (−0.40 to 0.50) 0.60 (0.10 to 1.10)g
Medicare 552.58 (510.28 to 596.88)g 364.90 (317.34 to 412.46)g −188.68 (−251.91 to −125.45)g −34.15 −0.01 (−0.33 to 0.31) 0.51 (−0.05 to 1.07) 0.52 (−0.10 to 1.15)
Commercial 527.93 (497.98 to 557.88)g 363.19 (318.79 to 407.59)g −164.74 (−217.27 to −112.21)g −31.20 0.04 (−0.20 to 0.27) 0.44 (−0.07 to 0.96) 0.41 (−0.14 to 0.95)
Cash 106.26 (96.17 to 116.36)g 101.75 (91.03 to 112.47)g −4.51 (−18.99 to 9.97) −4.24 0.11 (−0.30 to 0.51) −0.73 (−1.26 to −0.21)g −0.84 (−1.49 to −0.19)g
a

The prepandemic period is defined as May 13, 2019, through the week of March 13, 2020. The pandemic period begins the following week and continues through December 20, 2020.

b

Predicted levels are calculated from a linear regression of weekly trends on the number of individuals filling prescriptions.

c

The change in level is calculated as the coefficient on the term that measures the breakpoint in the interrupted time series analysis.

d

Calculated as (change in level/prepandemic level × 100).

e

The trend is calculated as the coefficient on the weekly trend in a log-linear regression, where the dependent variable (number of individuals filling a prescription) is log transformed.

f

The change in trend is calculated as the coefficient on the interaction term in the interrupted time series analysis where the dependent variable (number of individuals filling a prescription) is log transformed.

g

Denotes P ≤ .05.