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Insurance Insights

UT SELECT Prescription Aggregate Drug Data: September 1, 2008 – August 31, 2009

UT SELECT Medical for benefits eligible employees, retirees and dependents includes prescription benefits administered by Medco Health Solutions, Incorporated. The data in the tables below represents UT SELECT prescription drug costs defined by the type of therapeutic sub-chapter (Table 1), prescriptions by plan cost (Table 2), and by cost per specialty drug (Table 3).

Top Drugs by Therapeutic Sub-Chapter
Rank
Drug Name
Purpose
Total Patients
Plan Cost
1

Lipid/Cholesterol Lowering Agents

Cardiovascular, Hypertension

25,717

$11,519,214

2

Proton Pump Inhibitors

Gastroenterology

14,809

$10,151,843

3

Miscellaneous Pulmonary Agents

Respiratory, Allergy, Cough and Cold

9,123

$7,156,934

4

Miscellaneous Antidepressants

Autonomic and Central Nervous System (CNS), Neurology (Neuro), Psych

9,000

$5,891,203

5

Non-Insulin Hypoglycemic Agents

Endocrine/Diabetes

9,028

$5,688,332

6

Miscellaneous Rheumatological Agents

Musculoskeletal and Rheumatology

508

$5,550,508

7

Anticonvulsants

Autonomic and CNS, Neuro and Psych

8,870

$4,752,492

8

Miscellaneous Psychotherapeutic Agents

Autonomic and CNS, Neuro and Psych

4,925

$4,421,286

9

HIV/AIDS Therapy

Anti-infectives

330

$4,044,581

10

Miscellaneous Antipsychotics

Autonomic and CNS, Neuro and Psych

2,011

$3,813,430

Total Top 10     84,321

$62,989,823

Table 2

UT SELECT: Top 10 Prescription Drugs by Total Plan Costs
Plan Year 2009 (September 1, 2008 – August 31, 2009)
Prescription Drug Plan Administered by Medco Health
Table description: List of top 10 drugs by total plan costs for plan year 2009

Top Drugs by Total Plan Costs

Rank

Drug Name

Preferred/Non-Preferred

Purpose

Total Patients

Member Cost

Plan Cost

1

Nexium

Preferred

Proton Pump Inhibitor

9,312

$1,737,442

$8,115,968

2

Lipitor

Preferred

Lipid/Cholesterol Lowering Agent

8,117

$1,950,210

$4,710,096

3

Enbrel

Preferred

Miscellaneous Rheumatological Agents

259

$57,243

$3,053,581

4

Humira

Preferred

Miscellaneous Rheumatological Agents

182

$42,087

$2,432,106

5

Advair Diskus

Preferred

Miscellaneous Pulmonary Agents

3,416

$451,517

$2,218,625

6

Valtrex

Preferred

Miscellaneous Antivirals

3,761

$368,577

$2,118,661

7

Plavix

Preferred

Antiplatelet Drugs

2,329

$559,823

$2,046,384

8

Singulair

Preferred

Miscellaneous Pulmonary Agents

5,300

$819,938

$1,969,939

9

Actos

Preferred

Non-Insulin Hypoglycemic Agents

1,723

$361,393

$1,968,975

10

Cymbalta

Preferred

Miscellaneous Antidepressants

2,225

$451,872

$1,968,729

Total Top 10       36,624 $6,800,102

$30,603,064

Table 3

UT SELECT: Top 10 Specialty Drugs by Plan Cost
Plan Year 2008 (September 1, 2008 – August 31, 2009)
Prescription Drug Plan Administered by Medco Health
Table description: List of top 10 drugs by top specialty drugs per plan cost for Plan Year 2009

Top Specialty Drugs per Plan Cost

Rank

Drug Name

Specialty Class

Total Patients

Member Cost

Plan Cost

Plan Cost/Patient

1

Enbrel

Rheumatoid Arthritis and other Autoimmune Conditions

259

$57,243

$3,053,581

$11,790

2

Humira

Rheumatoid Arthritis and other Autoimmune Conditions

182

$42,087

$2,432,106

$13,363

3

Copaxone

Multiple Sclerosis

77

$18,227

$1,563,221

$20,302

4

Avonex

Multiple Sclerosis

54

$15,787

$1,162,156

$21,521

5

Lovenox

Anticoagulation

640

$34,427

$958,945

$1,498

6

Rebif

Multiple Sclerosis

45

$11,565

$908,730

$20,194

7

Revlimid

Cancer

22

$4,041

$819,354

$37,243

8

Forteo

Osteoporosis

143

$27,721

$756,087

$5,287

9

Xolair

Pulmonary

40

$13,506

$684,091

$17,102

10

Gleevec

Cancer

17

$4,515

$656,714

$38,630

Total Top 10    

1,479

$229,119

$12,994,985

 

UT SELECT Health Benefits Guide Update

The UT SELECT Health Benefits Guide and the UT Benefits Handbook for Employees and Retired Employees have been updated to show Preventive Care benefits for child immunizations up to age 6 for both In-Area Non-Network and Out-of-Area benefits are covered in full by the UT SELECT plan with no copayment applied.

While the immunization benefits for children up to age 6 have been paid correctly by Blue Cross and Blue Shield of Texas, the benefit description was not accurately recorded in the online or printed version of the UT SELECT Health Benefits Guide or the UT Benefits Handbook for Employees and Retired Employees.

Contact Us

If you have a Benefits question, submit your question by replying to the “newsletter email” or by sending an email to benefits@utsystem.edu.

UT System Employee Benefits Web site: www.utsystem.edu/benefits/
UT System Retirement Programs Web site: www.utretirement.utsystem.edu
Your Local Benefits Office: http://www.utsystem.edu/benefits/contacts#1