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Top 20 Conditions by Drug Cost

Mood disorder, depressed

Psych & schizo disorder

Mood disorder, bipolar

Contraceptive mgt

Asthma

Rx only-contraceptive

Hypertension

AIDS

Jt degen -back

Autoim rheum disease exc lupus

Oth hematologic dis

Attention deficit disorder

Inflam bowel disease

Psoriasis

Oth skin inflam

Hyper-funct adrenal gland

Leukemia

Multiple sclerosis

Adult rheumatoid arthritis

Diabetes

$0

$40,000

$80,000

$120,000

$160,000

$200,000

$240,000

# OF

CLAIMANTS

# OF

PRESCRIPTIONS

FILLED

MEMBER PAID

PLAN PAID

(RETAIL)

PLAN PAID

(MAIL ORDER)

PLAN PAID

CONDITION

144

1,857

$37,877.99

$244,911.49

$1,558.83

$246,470.32

Diabetes

7

192

$7,259.43

$7,897.49

$128,553.99

$136,451.48

Adult rheumatoid arthritis

3

26

$2,729.49

$56.10

$115,010.04

$115,066.14

Multiple sclerosis

1

9

$1,502.49

$0.00

$84,671.48

$84,671.48

Leukemia

1

2

$600.00

$72,640.12

$0.00

$72,640.12

Hyper-funct adrenal gland

106

260

$5,031.35

$17,419.86

$45,756.63

$63,176.49

Oth skin inflam

12

42

$1,879.84

$5,969.03

$47,201.03

$53,170.06

Psoriasis

22,842

$249,828.23

$1,057,220.21

$530,729.31

$1,587,949.52

Page 19 of 41

Incurred: 2/1/2016 to 1/31/2017

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