Virginia ADAP Data Report March 2009

Anne Giuranna RhodesDepartment of Epidemiology and Community Health

Virginia Commonwealth University

ADAP Summary:April 2008 to March 2009

• Total clients served 3254 (3229)

• Average cost per prescription – $441 ($398)

• Cost per person per month - $1,323 ($1,186) [1066]

• Number of new clients –789 (701)

• Clients accessing anti-depressants – 395 (157)

• Avg. length of time on ADAP (months) – 53.2 (45.1)

•Numbers in parentheses are from 1 year ago (April 2007 to March 2009)•Number in brackets is from NASTAD report for National ADAP – June 2008

Value of Filled PrescriptionsValue of Filled Prescriptions

Fiscal Year Total Value

April 2000 to March 2001 $13,283,421

April 2001 to March 2002 $15,662,031

April 2002 to March 2003 $17,143,724

April 2003 to March 2004 $20,312,242

April 2004 to March 2005 $22,481,523

April 2005 to March 2006 $23,818,875

April 2006 to March 2007 $22,694,646

April 2007 to March 2008 $22,200,203

April 2008 to March 2009 $ 24,862,782

April 2009 to March 2010 (projected) $26,215,243

*Note: Value is not reduced by a) Medicaid back-billing reimbursements, b) Year-end General funds, c) Pharmaceutical company rebates and free goods,

d) Re-dispensing of medications that are dispensed but not picked up

ADAP and Consortia by RegionApril 2008 to March 2009

National ADAP and VA ADAPDemographics: June 2008

National Numbers from NASTA Reporthttp://www.nastad.org/Docs/highlight/200946_7861%20FULL%20REPORT%20v3.pdf

All Clients Served: April 2008 to March 2009Race/Ethnicity and Gender

Clients by Region March 2008 to April 2009 (n=3254)

Southwest has seen largest decline in clients over the past 3 years

Clients by Age and Region:March 2008 to April 2009

Medication Types by RegionMarch 2008 to April 2009

• SW clients not receiving any HepC treatment

• Antidepressant usage lower in Northern and Northwest

• Vaccine usage highest in SW and Central

Clients By Region - # of ARVsJanuary to March 2009

New Classes of Drugs: Persons by MonthApril 2008 to March 2009

Specific Drugs by Region:April 2008 to March 2009

CD4 Counts by Region:April 2008 to March 2009

CD4 counts available for 51% of enrolled clients