1. Virginia ADAP Data Report March 2010 Anne Giuranna Rhodes, ABD George Mason University

2. ADAP Summary: April 2009 to March 2010 Total clients served: 3816 (3495) Average persons per month: 1783 (1649) Average cost per person per month: $1308 ($1254) Number of new clients: 832 (738) Clients accessing anti-depressants: 599 (415) *Numbers in parentheses are from 1 year ago (April 2008 to March 2009)

3. VA ADAP – Update March 2010 Increase of $3.1M in last year Cost per person increased by 18.7% in last 5 years to $1308 per month Cost Average of 1783 persons receiving an Rx per month Increase of 7.5% in the last year Persons Average person receives 4.4 drugs per month This is an increase of 4.3% in the last 5 years Drugs

4. VA ADAP - Growth Rates Growth rate for both active and new clients was negative during 2005 and 2006 Growth in active clients, new clients, and total monthly cost was greater in the past 3 years

5. VA ADAP – 2002 to 2010 : Medications and Rx Per Month

6. VA ADAP: 2002 to 2010 Persons and Cost Per Person Per Month

7. Value of Filled Prescriptions Fiscal YearTotal Value 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 $ 27,999,654 April 2010 to March 2011 (projected) $ 30,975,540 April 2011 to March 2012 (projected) $ 34,904,014 *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

8. Medication Types by Age April 2009 to March 2010 Older clients more likely to access diabetes and blood pressure medications Antidepressant usage about the same, while anti-anxiety usage slightly higher among those under 45 Atripla usage higher for those under 45

9. Classes of Drugs: Persons by Month 2007 to 2009

10. Classes of Drugs: Persons by Month 2007 to 2009 - Antiretrovirals

11. Classes of Drugs: Persons by Month 2007 to 2009 – Non-Antiretrovirals