part d prescription drug coverage in esrd patients

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A B C D E F G H I J K L M N O

Bars

: Tot

al d

ays

supp

ly (i

n m

illio

ns)

0

10

20

30

40

Line

: Cum

ulat

ive

perc

ent o

f tot

al

0

20

40

60

80

General Medicare All CKD Hemodialysis Peritoneal dialysis Transplant

Percen

t

0

20

40

60

80No deductible Gap coverage

White Black/Af Am Asian Other

Expe

nditu

res ($

, in

1,00

0s)

0

2

4

6

8LISNo LIS

Gen Med All CKD HD PD Tx

Expe

nditu

res ($

, in

1,00

0s)

0

2

4

6

8

Medicare

Out-of-pocket (OOP)

2007 2008 2009 2010

Expe

nditu

res (

$, in

bill

ions

)

0

1

2

3

45

40

50

60

General Medicare

All CKD

HemodialysisPeritoneal dialysisTransplant

Gen MedLIS LIS LIS LIS LISNo LIS No LIS No LIS No LIS No LIS

Expe

nditu

res

($, i

n 1,

000s

)

0

2

4

6

8

10

All CKD HD TransplantPD

Medicare

Out-of-pocket (OOP)

Expe

nditu

res

($, 1

,000

s)

0

4

8

12

16LIS: Hemodialysis Peritoneal dialysis Transplant

07 08 09 100

2

4

6

8

07 08 09 10 07 08 09 10

Part B (injectable & immunosuppressive drugs)

Part D

No LIS

Expe

nditu

res (

$, in

bill

ions

)

0

1

2

3

Hemodialysis Peritoneal dialysis Transplant

4

Part B (injectable & immunosuppressive drugs)

Part D

Gen Med All CKD HD PD Tx

Perc

ent

0

20

40

60

80

100 Initial coverage Coverage gap Catastrophic coverage

Months

0 1 2 3 4 5 6 7 8 9 10 11 12

Perc

ent

0

10

20

30

40

50General MedicareAll CKDHemodialysis Peritoneal dialysis Transplant

Months

0 1 2 3 4 5 6 7 8 9

Perc

ent

0

10

20

30General MedicareAll CKDHemodialysis Peritoneal dialysis Transplant

A B C D E F G H I J K L M N O

Bars

: Total

days supp

ly (in millions)

0

10

20

30

40

Line

: Cum

ulative pe

rcen

t of total

0

20

40

60

80

A B C D E F G H I J K L M N O

Bars

: Total

costs

($, in millions)

0

100

200

300

400

500

Line

: Cum

ulative pe

rcen

t of total

0

20

40

60

80

100

A B C D E F G H I J K L M N O

Bars

: Total

days supp

ly (in millions)

0

3

6

9

12

Line

: Cum

ulative pe

rcen

t of total

0

20

40

60

80

A B C D E F G H I J K L M N O

Bars

: Total

costs

($, in millions)

0

10

20

30

40

Line

: Cum

ulative pe

rcen

t of total

0

20

40

60

80