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Top 20 Conditions by Drug Cost

# OF

CLAIMANTS

# OF

PRESCRIPTIONS

FILLED

MEMBER PAID

PLAN PAID

(RETAIL)

PLAN PAID

(MAIL ORDER)

PLAN PAID

CONDITION

13

86

$2,853.55

$17,018.77

$29,971.27

$46,990.04

Inflam bowel disease

60

387

$7,598.65

$45,926.24

$0.00

$45,926.24

Attention deficit disorder

6

17

$67.29

$209.03

$41,158.36

$41,367.39

Oth hematologic dis

11

65

$2,710.23

$39,948.52

$0.00

$39,948.52

Autoim rheum disease exc

lupus

86

698

$6,836.93

$33,321.17

$0.00

$33,321.17

Jt degen -back

2

14

$1,453.72

$15,238.48

$11,934.78

$27,173.26

AIDS

339

2,862

$20,116.70

$27,171.72

$0.00

$27,171.72

Hypertension

86

442

$30.00

$26,342.72

$108.91

$26,451.63

Rx only-contraceptive

105

634

$13,042.13

$24,608.39

$0.00

$24,608.39

Asthma

86

428

$323.91

$22,102.80

$0.00

$22,102.80

Contraceptive mgt

14

193

$2,320.41

$20,821.40

$0.00

$20,821.40

Mood disorder, bipolar

3

74

$942.39

$20,252.62

$0.00

$20,252.62

Psych & schizo disorder

148

1,418

$11,885.32

$19,672.89

$9.72

$19,682.61

Mood disorder, depressed

4,096

13,136

$122,766.41

$395,691.37

$24,794.27

$420,485.64

Remaining Conditions

22,842

$249,828.23

$1,057,220.21

$530,729.31

$1,587,949.52

Page 20 of 41

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

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