Virginia ADAP Data Report March 2009 Anne Giuranna Rhodes Department of Epidemiology and Community Health Virginia Commonwealth University.

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Virginia ADAP Data Report March 2009 Anne Giuranna Rhodes Department 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 Prescriptions Fiscal YearTotal 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 Region April 2008 to March 2009

National ADAP and VA ADAP Demographics: June 2008 National Numbers from NASTA Report

All Clients Served: April 2008 to March 2009 Race/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 Region March 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 ARVs January to March 2009

New Classes of Drugs: Persons by Month April 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