Medicare Blog

how many prescriptions does the average medicare patient have

by Faye Konopelski Published 2 years ago Updated 1 year ago

Total use of prescription medications The average Medicare Part D patient filled 49 standardized 30-day prescriptions in 2010. At the high end, patients in Miami, filled an average of 63 prescriptions, compared to patients in Grand Junction, Colo., who filled 39 prescriptions per year.

Use of prescription drugs among those enrolled in Medicare Part D and Medicaid increased as well. Administrative data about Medicare Part D show that from 2009 to 2018 the average number of standardized prescriptions per beneficiary rose from 48 to 54 per year—a 13 percent increase.Jan 19, 2022

Full Answer

How much does Medicare spend on prescription drugs?

The majority of Medicare prescription drug spending—totaling $129 billion in 2016—is for drugs covered under the Part D prescription drug benefit, which is administered by private stand-alone drug plans and Medicare Advantage drug plans.

What is the average number of prescriptions per capita per year?

A paid subscription is required for full access. The average number of prescriptions per capita in the U.S. was, on average, 12.2 per capita in 2013. Trends indicate that the number of prescriptions per capita increases with age. Those aged 65-79 years utilize, on average 27.3 prescriptions per year.

How many people in the United States have Medicare?

In 2020, 62.6 million people were enrolled in the Medicare program, which equates to 18.4 percent of all people in the United States. Around 54 million of them were beneficiaries for reasons of age, while the rest were beneficiaries due to various disabilities.

How many prescription drugs are filled each year?

It is expected that there will be 4.57 billion prescriptions filled annually by the year 2024. The total percentage of the U.S. population that had used prescription drugs in the past 30 days was about 47 percent as of 2014.

What is the average number of prescriptions per person?

The average number of prescriptions per capita in the U.S. was, on average, 12.2 per capita in 2013. Trends indicate that the number of prescriptions per capita increases with age. Those aged 65-79 years utilize, on average 27.3 prescriptions per year.

How many prescription drugs does the average senior take?

Research shows that the average older adult takes four or more prescription drugs each day, but a whopping 39 percent of seniors take five or more prescriptions each day. While each one was created to treat or manage a specific medical problem, each also comes with its own risks and side effects.

What is the average number of medications a patient 65+ years is prescribed?

Older adults are also more likely than their younger counterparts to be taking multiple prescription medications. More than half of adults 65 and older (54%) report taking four or more prescription drugs compared to one-third of adults 50-64 years old (32%) and about one in ten adults 30-49 (13%) or 18-29 (7%).

How many prescription drugs does the average American take?

More than half of us now regularly take a prescription medication—four, on average—according to a new nationally representative Consumer Reports survey of 1,947 adults. Many in that group also take over-the-counter drugs as well as vitamins and other dietary supplements.

What is the average number of medications?

Data suggests that among those who take prescription medications, the average number of medications taken is four. More than 131 million Americans take at least one prescription medication.

How many medications does the average 50 year old take?

The average number of prescriptions filled also increases with age, from 13 for those age 50 to 64 to 22 for those age 80 and older (see Figure 1).

What percentage of elderly patients use 10 or more medications?

More than four in ten older adults take five or more prescription medications a day, tripling over the past two decades. Nearly 20 percent take ten drugs or more.

How many prescription drugs are too many?

However, taking too many prescription medications can be risky. Taking more than five medications is called polypharmacy. The risk of harmful effects, drug interactions and hospitalizations increase when you take more medications.

What percentage of 60 year olds are on medication?

Use of one or more prescription drugs was more common among adults aged 60–79 compared with those aged 40–59 in both the United States (83.6% compared with 59.5%) and Canada (83.3% compared with 53.3%) (Figure 3).

What is the most prescribed drug in the United States?

The Top 300 Drugs of 2019RankDrug NameTotal Prescriptions (2019)1Atorvastatin112,104,3592Levothyroxine102,595,1033Lisinopril91,862,7084Metformin85,739,44393 more rows•Sep 12, 2021

Do doctors prescribe too much medication?

Before you know it, you're taking multiple medications and start feeling tired, dizzy or nauseous. Your doctor interprets that as a new symptom for a new disease and prescribes yet another drug. Overmedication is a health hazard for older adults that their doctors can often overlook.

What country takes the most prescription drugs?

While the United States has the largest population and the greatest absolute prescription drug spending as a country, its spending per capita (shown in Exhibit 1 and Exhibit 2) is still significantly higher than that of other countries.

How many older adults have problems with prescription drugs?

Some older adults report various problems accessing prescription drugs through their plan. Overall, nearly half (45%) of older adults with prescription drug coverage say they have experienced various problems accessing prescription drugs through their drug plan in the past 12 months. Nearly three in ten older adults (28%) report ...

How many older people say it is difficult to afford prescription drugs?

In addition, one-fourth of older adults (23%) who take prescription drugs say it is difficult to afford their prescription drugs, including about one in ten (8%) saying it is “very difficult.”. As is true among the public as a whole, there are certain groups of older adults who are much more likely to report difficulty affording medications, ...

How many older people talk to their doctor about drugs?

Seven in ten older adults (72%) say they usually talk to their doctor about the safety and potential side effects of the drug when their doctor writes a prescription for a drug they haven’t taken before. In contrast, around four in ten older adults (43%) say they usually talk to their doctor about whether there is a less expensive alternative, ...

What is more important for older adults with prescription drug coverage?

When older adults with prescription drug coverage were asked what feature of their coverage is more important to them, a larger share say having a lower co-pay at the pharmacy is more important to them than paying a lower premium each month (51% versus 35%).

Do older adults have Medicare?

While a majority of older adults have prescription drug coverage through Medicare Part D, which is Medicare’s voluntary prescription drug benefit, most older adults (76%) think the cost of prescription drugs is unreasonable. This viewpoint is consistent across party identification, with majorities of Democrats (81%), independents (74%), ...

Do older adults get discounts?

Few older adults report using patient assistance programs or other types of discounts. One-fifth of older adults say they have received a discount on a prescription drug in the past year, either through a coupon, a co-pay card, drug company patient assistance program, or some other type of discount.

Can Medicare restrict access to certain medications?

Fewer older adults favor allowing Medicare to restrict access to certain prescription medications such as allowing Medicare drug plans to put more restrictions on the use of certain drugs (45%) or allowing these plans to exclude more drugs (24%). Methodology.

About the Dartmouth Atlas Project

For more than 20 years, the Dartmouth Atlas Project has documented glaring variations in how medical resources are distributed and used in the United States. The project uses Medicare data to provide information and analysis about national, regional, and local markets, as well as hospitals and their affiliated physicians.

About the Robert Wood Johnson Foundation

The Robert Wood Johnson Foundation focuses on the pressing health and health care issues facing our country. As the nation’s largest philanthropy devoted exclusively to health and health care, the Foundation works with a diverse group of organizations and individuals to identify solutions and achieve comprehensive, measurable, and timely change.

How much of Medicare was covered by prescription drugs in 2016?

Prescription drugs covered under both Part B and Part D accounted for 19% of all Medicare spending in 2016. 3. Ten drugs accounted for 17% of all Part D spending in 2016 (including both Medicare and out-of-pocket spending). 4.

How much did Medicare Part D spend in 2016?

Medicare Part D enrollees who did not receive low-income subsidies spent about $500 out of pocket on their prescriptions in 2016, on average, but 1 million enrollees with spending above the catastrophic threshold spent nearly $3,200 out of pocket. 8.

Can Medicare Part D pay out of pocket?

Medicare Part D enrollees can pay thousands of dollars out of pocket for specialty tier drugs, with the majority of costs for many specialty drugs occurring in the catastrophic phase of the benefit. 10. Many proposals to reduce prescription drug costs enjoy broad support among Democrats and Republicans.

Is Medicare a private insurance?

Medicare is second only to private insurance as a major payer for retail prescription drugs. The program’s share of the nation’s retail prescription drug spending has increased from 18% in 2006 to 30% in 2017.

What is Medicare approved amount?

Medicare-Approved Amount. In Original Medicare, this is the amount a doctor or supplier that accepts assignment can be paid. It may be less than the actual amount a doctor or supplier charges. Medicare pays part of this amount and you’re responsible for the difference.

What is Medicare Part A?

Medicare Part A (Hospital Insurance) Part A covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care. coverage. Transplant drugs can be very costly. If you’re worried about paying for them after your Medicare coverage ends, talk to your doctor, nurse, or social worker.

How long does Medicare cover after kidney transplant?

If you're entitled to Medicare only because of ESRD, your Medicare coverage ends 36 months after the month of the kidney transplant. Part A covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care. coverage. Transplant drugs can be very costly.

What is a prodrug?

A prodrug is an oral form of a drug that, when ingested, breaks down into the same active ingredient found in the injectable drug. As new oral cancer drugs become available, Part B may cover them. If Part B doesn’t cover them, Part D does.

What happens if you get a drug that Part B doesn't cover?

If you get drugs that Part B doesn’t cover in a hospital outpatient setting, you pay 100% for the drugs, unless you have Medicare drug coverage (Part D) or other drug coverage. In that case, what you pay depends on whether your drug plan covers the drug, and whether the hospital is in your plan’s network. Contact your plan to find out ...

What is Part B covered by Medicare?

Here are some examples of drugs Part B covers: Drugs used with an item of durable medical equipment (DME) : Medicare covers drugs infused through DME, like an infusion pump or a nebulizer, if the drug used with the pump is reasonable and necessary.

Does Medicare cover transplant drugs?

Medicare covers transplant drug therapy if Medicare helped pay for your organ transplant. Part D covers transplant drugs that Part B doesn't cover. If you have ESRD and Original Medicare, you may join a Medicare drug plan.

How much did Medicare cost in 2016?

In 2016, Medicare enrollees who reported being in poor health spent $6,384 in premiums and out-of-pocket health costs, while those who reported being in excellent or good health had average costs of $4,715.

How much does a female Medicare beneficiary spend on health insurance?

Female Medicare beneficiaries spent a slightly higher average portion of self-reported income on health coverage and out-of-pocket costs than their male counterparts (spending $5,748 versus $5,104 spent by men), although this was not the case for those under age 65 who are enrolled in Medicare because of disability.

How much did Medicare pay out of pocket in 2016?

A: According to a Kaiser Family Foundation (KFF) analysis of Medicare Current Beneficiary Survey (MCBS), the average Medicare beneficiary paid $5,460 out-of-pocket for their care in 2016, including premiums as well as out-of-pocket costs when health care was needed.

Does Medicare cover long term care?

In addition to cost sharing (deductibles, co-pays and coinsurance), beneficiaries have to pay out-of-pocket for expenses Medicare doesn’t cover, such as long-term care and dental services. According to the KFF analysis, the amount Medicare beneficiaries paid for covered and non-covered care decreased slightly from 2013 and 2016, ...

Is there a deductible for Medicare Part A 2020?

The Part A deductible and coinsurance also increased slightly in 2020, as did the premium for Part A that applies to people who don’t have enough work history (or a spouse with enough work history) to qualify for premium-free Medicare Part A.

How many prescriptions were there in the US in 2013?

Prescription per capita in the United States by age group 2013. The average number of prescriptions per capita in the U.S. was, on average, 12.2 per capita in 2013. Trends indicate that the number of prescriptions per capita increases with age. Those aged 65-79 years utilize, on average 27.3 prescriptions per year.

What are the consequences of high pharmaceutical costs in the US?

One consequence of high pharmaceutical costs in the U.S. is a booming pharmaceutical industry. The U.S. pharmaceutical industry , which is responsible for the production and development of prescription drugs, in the U.S. has grown significantly in recent years.

What was the top therapeutic area in the US in 2016?

The top therapeutic area in the U.S. in 2016 was represented through antihypertensive drugs, followed by pain management drugs. Residents in the U.S. pay some of the highest pharmaceutical per capita costs worldwide. One consequence of high pharmaceutical costs in the U.S. is a booming pharmaceutical industry.

Who sells Medicare Part D?

Medicare Part D plans are sold by private insurance companies . These insurance companies are generally free to set their own premiums for the plans they sell. Medicare Part D plan costs in any particular area may depend partly on the cost of other plans being sold in the same area by competing carriers. Cost-sharing.

What is the average Medicare Part D premium for 2021?

The average Part D plan premium in 2021 is $41.64 per month. 1. Because Original Medicare (Part A and Part B) does not cover retail prescription drugs in most cases, millions of Medicare beneficiaries turn to Medicare Part D or Medicare Advantage prescription drug (MA-PD) plans to get help paying for their drugs.

What is the Medicare donut hole?

After 2020, Medicare Part D plans have a shrunken coverage gap, or “donut hole,” which represents a temporary limit on what the plan will cover for prescription drugs. You enter the Part D donut hole once you and your plan have spent a combined $4,130 on covered drugs in 2021.

How much is Medicare Part D 2021?

How much does Medicare Part D cost? As mentioned above, the average premium for Medicare Part D plans in 2021 is $41.64 per month. The table below shows the average premiums and deductibles for Medicare Part D plans in 2021 for each state. Learn more about Medicare Part D plans in your state.

Does Medicare Advantage cover Part A?

Medicare Advantage plans (also called Medicare Part C) provide all of the same coverage as Medicare Part A and Part B, and many plans include some additional benefits that Original Medicare doesn’t cover. Read additional medicare costs guides to learn more about Medicare costs and how they will affect you.

Prescription Drug Use and Affordability Issues

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Nearly nine in ten (89%) adults 65 and older report they are currently taking any prescription medicine. This compares to three-fourths of 50-64 year olds who report taking prescription drugs, half (51%) of 30-49 year olds, and four in ten (38%) 18-29 year olds. Older adults are also more likely than their younger counterparts …
See more on kff.org

Experiences with Prescription Drug Coverage

  • People with prescription drug coverage under Medicare Part D are encouraged to compare plans each year to find coverage that best meets their individual needs, based on the specific drugs they take. For 2019, Medicare beneficiaries could choose from among 27 stand-alone Medicare Part D prescription drug plans, and 21 Medicare Advantage prescription drug plans, on average. Less t…
See more on kff.org

Majorities of Older Adults Support Various Actions Aimed at Keeping Costs Down

  • Unlike many other health policies that divide partisans, majorities of older adults across party identification favor many of the policy proposals included in the KFF poll, including recent Trump administration proposals like international reference pricing, Democratic proposals to allow the federal government to negotiate drug prices, and bipartisan proposals to add a cap on out-of-po…
See more on kff.org

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