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Diabetes Drugs Emerge as Top Force in Drug Spending Growth
Date:5/15/2008

. Snow Jr. said. "Generic cholesterol medications have helped contain our drug trend to a new all-time low of 2.0 percent. Patients and our clients are reaping the benefits of generics as we enable them to hold down costs and make prescription drugs one of the few areas where spending trails overall health care inflation."

Diabetes patients move away from older treatments

While utilization of diabetes medications only increased a moderate 2.3 percent during 2007, the cost of diabetes treatments rose sharply as patients shifted to newer drugs. These recently introduced medications have advantages over older drugs since they are faster-acting and can help patients better maintain consistent blood sugar levels to prevent complications from the disease. A sharp drop in Avandia use due to safety concerns, withdrawal of an inhalable form of insulin, and declining unit costs for many generic versions of diabetes drugs were not enough to offset the trend toward higher-cost treatments.

"The diabetes epidemic and the introduction of new products are reshaping prescription spending patterns," said Medco Chief Medical Officer Dr. Robert S. Epstein. "The number of people diagnosed with diabetes is increasing by about a million patients per year -- meaning more people need complex drug therapies to control their blood sugar. While medications are critical for controlling the disease, many of these cases could have been prevented or delayed with lifestyle changes, such as diet or exercise."

Two- or three-drug combinations are frequently being used to reduce the complications associated with diabetes, which affects about 21 million Americans. However, only 7 percent of patients with the disorder achieve target goals for blood glucose, cholesterol and blood pressure.

Reflecting the need for advanced pharmacy care, the Medco Therapeutic Resource Centers(R) (TRCs) with more than 1,100 specialist pharmacists, were developed to help patients with diabe
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SOURCE Medco Health Solutions Inc.
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