At Abarca, we very deliberately take the fourth quarter of the year to assess what we have learned and find new, better ways to apply it. • Less than 1% of prescriptions filled in 2012 were for specialty medications, yet they accounted for 25% of total prescription drug expenditures. By 2018, specialty drugs are expect-ed to account for half of the total drug spend in the United States. Similarly, specialty pharmacy practice has evolved rapidly since the turn of the century. Preparing for 2020 Specialty Drug Spend. For most of us, the end of the year is a time of reflection. It is anticipated that by 2020 specialty pharmaceuticals will represent 50% of all US drug expenditures for only 2% to 4% of the population.3 Many of these drugs are utilized in the ambulatory setting. We anticipate that as overall specialty spend grows from about a third of total drug spend to more than half by 2020, this ratio will remain about the same. the need to use a "specialty" pharmacy to determine if your medicine is covered by insurance; and the confusion grows. The top three therapy classes – inflammatory conditions, multiple sclerosis A report by America's Health Insurance Plans (AHIP) projected that drug spending in the US will grow to $590 billion by 2020, up from $337 billion just a few years ago. The use of specialty medicines grew by 5%, more than twice the rate of other drugs, and now represents 2.2% of volume. But it is also a time for thinking ahead and thinking anew. This report—our eleventh edition—remains the most comprehensive, fact-based tool for understanding and analyzing the large and growing U.S. pharmaceutical distribution industry. Specialty drug prices will continue to rise. Employers Focus on High-Cost Claims, Drug Spending into 2020 ... and purchasing stop-loss insurance to offset the risk for a particular drug after a set price. Vizient, which revealed that finding in its recent 2019 Drug Price Forecast, predicts a continued growth of pharmaceutical costs that far … 19.1 percent increase in specialty pharmacy benefit spend in 2019 11.6 percent projected annual specialty growth rate over the next three years 86 percent of total specialty spend … On October 13, 2020, Drug Channels Institute will release The 2020–21 Economic Report on Pharmaceutical Wholesalers and Specialty Distributors. The Specialty Drug Distribution report supplies business outlining, requirements, contact information and product image of important manufacturers of Specialty Drug Distribution. In 2018, medicines spending growth in the United States rebounded to 4.5% on a net basis, while growth at the invoice-level was 5.7%. 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