1. Virginia ADAP Data Report December 2008 Anne Giuranna Rhodes Department of Epidemiology and Community Health Virginia Commonwealth University

2. ADAP Summary: October 2007 to September 2008 Total clients served 3281 (3339) Average cost per prescription – $417 ($308) Cost per person per month - $1,263 ($1,062) Number of new clients –616 (738) Clients accessing anti-depressants – 305 (0) Avg. length of time on ADAP (months) – 51.4 (31.9) * Numbers in parentheses are from 4 years ago (Oct 2003 to Sept 2004)

3. 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$22,200,203 April 2008 to March 2009 (projected)$ 24,413,950 April 2009 to March 2010 (projected)$24,780,159 *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

4. January 2002 to September 2008 Persons and Medications

5. ADAP and Consortia by Region April to September 2008

6. Part B Consortia and VA ADAP: Race/Gender – April 2008 to Sept 2008

7. Active Clients – September 2008 (n=2798)

8. Active Clients by Region – September 2008 (n=2798) Southwest has seen largest decline in clients over the past 3 years

9. New and Continuing Clients by Age: Oct 2007 to Sept 2008 New clients significantly younger, with the average age of clients new to ADAP in the last year = 39.7 years compared to 44.3 for those continuing on ADAP 13.7% of continuing clients are over 55, while only 9.0% of new clients are in this age group

10. New and Continuing Clients - Medications Oct 2007 to Sept 2008 New clients not receiving any HepC treatment New clients more likely to receive anti-anxiety and anti- psychotics, but not anti- depressants Continuing clients more likely to receive vaccines, but overall vaccines appear to be underutilized

11. New and Continuing Clients - # of ARVs July 2008 to Sept 2008

12. New and Continuing Clients – Total Number of Drugs July 2008 to Sept 2008 Average number of drugs 4.5 for new clients, 4.4 for continuing clients New clients more likely to get 1 drug only and over 6 drugs

13. Utilization of New Formulary Drugs: October 2007 to September 2008 103 persons $ 22,591 Antihyperglycemics Antilipidemics 238 persons $ 144,855 Anti-depressants 305 persons $ 48,936 34 persons $ 45,035 36 persons $ 691 Anti-anxiety Anti-psychoticsBi-polar treatment 5 persons $ 241

14. New Classes of Drugs: Persons by Month October 2007 to September 2008

15. Drug Classes by Region: October 2007 to Sept 2008

16. Specific Drugs by Region: October 2007 to Sept 2008

17. Number of Antiretrovirals by Region: July to September 2008