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San Joaquin Valley Insurance Authority (SJVIA) Traditional vs. Specialty
Claims/1000
Utilizers/1000
Billed Amt
Traditional
Specialty
% Specialty
Brand vs. Generic
Claims/1000
Utilizers/1000
Billed Amt
Generic Fill Rate
Standard GFR 2014
Standard Day Supply vs. Extended Day Supply
Claims/1000
Utilizers/1000
Billed Amt
Std Supply
Ext Supply
Ext Supply %
Ext Supply Goal %
Formulary vs. Non-Formulary
Claims/1000
Utilizers/1000
Billed Amt
Formulary
Non-Formulary
$11,204,974
1 of 5          
    ** CONFIDENTIAL **  
     27‐October‐2013 
San Joaquin Valley Insurance Authority (SJVIA) Top 10 Drugs by Cost
Rank Drug Name
Utilizers
Total Cost
% Total Cost Per
Enbrel Srclk (Soluble Tumor Necrosis Factor Receptor Agents) Atorvastatin (HMG CoA Reductase Inhibitors) Humira Pen (Anti-TNF-alpha - Monoclonoal Antibodies) Cymbalta (Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs)) Top 10 Totals
$2,156,647
19.2% $ 375.00
Grand Totals
$11,204,974
Top 10 Drugs by Volume
Rank Drug Name
Utilizers
Total Cost
Atorvastatin (HMG CoA Reductase Inhibitors) Ibuprofen (Nonsteroidal Anti-inflammatory Agents (NSAIDs)) Top 10 Totals
$217,144 $ 15.70
Grand Totals
$11,204,974
** CONFIDENTIAL **
San Joaquin Valley Insurance Authority (SJVIA) Top 10 Specialty Drugs by Cost
Rank Drug Name
Utilizers
Total Cost
Cost Per Rx
Enbrel Srclk (Soluble Tumor Necrosis Factor Receptor Agents) Humira Pen (Anti-TNF-alpha - Monoclonoal Antibodies) Afinitor (Antineoplastic Enzyme Inhibitors) Enoxaparin (Heparins And Heparinoid-Like Agents) Simponi (Anti-TNF-alpha - Monoclonoal Antibodies) Sprycel (Antineoplastic Enzyme Inhibitors) Revatio (Pulmonary Hypertension - Phosphodiesterase Inhibitors) Tracleer (Pulmonary Hypertension - Endothelin Receptor Antagonists) Top 10 Totals
$1,181,761
$2,999.39
Specialty Grand Totals
$11,204,974
Top 10 Specialty Drugs by Volume
Rank Drug Name
Utilizers
Total Cost
Cost Per Rx
Enbrel Srclk (Soluble Tumor Necrosis Factor Receptor Agents) Humira Pen (Anti-TNF-alpha - Monoclonoal Antibodies) Enoxaparin (Heparins And Heparinoid-Like Agents) Simponi (Anti-TNF-alpha - Monoclonoal Antibodies) Enbrel (Soluble Tumor Necrosis Factor Receptor Agents) Top 10 Totals
$805,251
$1,342.08
Specialty Grand Totals
$11,204,974
** CONFIDENTIAL **
San Joaquin Valley Insurance Authority (SJVIA) Top 10 Therapeutic Classes by Cost
Therapeutic Class
Utilizers
Total Cost
Cost Per Rx
Soluble Tumor Necrosis Factor Receptor Agents Serotonin-Norepinephrine Reuptake Inhibitors (SNRIs) Top 10 Total
$3,647,166
Top 10 Therapeutic Classes by Volume
Therapeutic Class
Utilizers
Total Cost
Cost Per Rx
Selective Serotonin Reuptake Inhibitors (SSRIs) Nonsteroidal Anti-inflammatory Agents (NSAIDs) Top 10 Total
$1,761,232
** CONFIDENTIAL **
San Joaquin Valley Insurance Authority (SJVIA) Top 10 Pharmacy Chains by Total Cost
Specialty
Chain Name
Utilizers GFR
Total Cost Rx Cnt
Total Cost Rx Cnt
Total Cost Rx Cnt
Total Cost
$7,945,839
$2,779,210
$2,175,929
$10,725,049
$8,356,035
$2,848,939
$2,282,102
$11,204,974
Top 10 Pharmacy Chains by Rx Count
Specialty
Chain Name
Utilizers GFR
Total Cost Rx Cnt
Total Cost Rx Cnt
Total Cost
Total Cost
$7,945,839
$2,779,210
$2,175,929
$10,725,049
$8,356,035
$2,848,939
$2,282,102
$11,204,974
** CONFIDENTIAL **

Source: http://www2.co.fresno.ca.us/1010/sjvia/Board%20Meetings/2013/11-1-13/Item%2012%20-%20Rx%20Plan%20Review%20Attachment.pdf

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