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Prescription drug plans in the U.S.

Statistics and facts about prescription drug plans in the U.S.

This report provides useful information on prescription drug plans in the United States. The report contains figures on national expenditure on prescription drugs, Medicare part D, employer sponsored prescription benefit. It also has a special chapter on pharmaceutical benefit managers (PBMs).

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Table of contents

National spending

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  • Premium Statistic U.S. national health expenditure on prescription drugs 1960-2034
  • Basic Statistic U.S. national health care expenditure in 2015-2024, by category
  • Premium Statistic Spending on prescription drugs U.S. 2024, by source of funds
  • Premium Statistic Out-of-pocket spending on prescription drugs U.S. 1970-2024
  • Premium Statistic Medicare spending on prescription drugs U.S. 1970-2024
  • Premium Statistic Medicaid spending on prescription drugs U.S. 1970-2024
  • Premium Statistic Annual change in per capita retail prescription drug spending in the U.S. 2000-2031
  • Premium Statistic Retail prescription drug expenditure distribution by payer in the U.S. 2005-2021

Global comparison

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  • Premium Statistic Per capita OOP prescribed medicines spending in high-income countries 2022
  • Premium Statistic Prescribed drug spending as a share of total health spending by country in 2022
  • Premium Statistic Per capita prescribed medicines spending in high-income countries 2022

Medicaid

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  • Premium Statistic Medicaid number of prescriptions in the U.S. 2017-2023
  • Premium Statistic Medicaid gross spending on outpatient prescription drugs 2017-2023
  • Premium Statistic Medicaid net spending on outpatient prescription drugs 2017-2023
  • Premium Statistic Medicaid net spending per prescription U.S. 2017-2023

Medicare part D

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  • Premium Statistic Number of Medicare Part D enrollment in the U.S. 2024, by firm
  • Premium Statistic Medicare Part D plan enrollment in the U.S. 2006-2025
  • Basic Statistic Distribution of MA-PD enrollees in the U.S. 2022, by premium
  • Premium Statistic Number of Medicare PDP plans available in the U.S. 2024-2025, by state
  • Premium Statistic Number of PDPs offered to Medicare Part D patients 2006-2025
  • Premium Statistic Monthly premium for Medicare Part D PDP and MA-PD in the U.S. from 2006-2024
  • Basic Statistic Average monthly Medicare Part D (prescription drug plan) premium U.S. 2006-2025
  • Premium Statistic Premiums for Medicare Part D Rx drug plans 2025
  • Premium Statistic Average reduction in out-of-pocket costs for Part D enrollees in the U.S. in 2025
  • Premium Statistic Out-of-pocket savings for Part D enrollees reaching new spending limit in 2025

Employer sponsored prescription drug benefit

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  • Premium Statistic MA-PD employer-only group plan enrollment in the U.S. 2006-2025
  • Premium Statistic PDP employer-only group plan enrollment in the U.S. 2006-2025
  • Premium Statistic Large firm employees with specialty drugs coverage in the U.S. in 2025
  • Premium Statistic Coinsurance structures for prescription drug coverage in the U.S. 2025
  • Premium Statistic Cost-sharing formulas for prescription drug benefits among workers U.S. 2025, by plan
  • Premium Statistic Cost-sharing formulas for prescription drug benefits among workers in U.S. 2017-2025

Pharmaceutical benefit managers

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  • Premium Statistic Employer satisfaction with PBMs financial performance in selected areas U.S. 2024
  • Premium Statistic Employer satisfaction with PBMs plan design features in the U.S. in 2024
  • Premium Statistic Employer satisfaction with elements of PBMs contracting process U.S. 2024
  • Premium Statistic Employer satisfaction with selected features of PBMs in the U.S. in 2024

Miscellaneous

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  • Premium Statistic Support for expanding recipients of Medicare OOP drug cost limits U.S. by party
  • Premium Statistic Policy options Americans favor to keep the prescription drug costs down in 2021
  • Premium Statistic Share of Americans who find it difficult to afford Rx medicine 2021, by age group
  • Premium Statistic Share of Americans who find it difficult to afford Rx drugs 2021 vs. 2023, by income
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