Prevention & lipids

Utilization and spending on lipid lowering therapies in medicaid from 2018 to 2022

Am Heart JPublished Retrospective cross-sectional study

Authors' conclusion

Between 2018 and 2022, annual prescription fills for lipid lowering therapies in Medicaid remained stable while spending on these medications increased, driven by increased utilization of PCSK9 inhibitors, icosapent ethyl, and bempedoic acid.

Study context

Population
Medicaid prescription fills for 32 lipid lowering drug formulations (18 brand-name, 14 generic), Medicaid Spending by Drug Dataset
Participants
115 million prescription fills
Exposure
Utilization and spending on lipid lowering therapies in Medicaid, 2018 vs 2022
Outcome
Change in utilization (annual prescription fills) and spending on lipid lowering medications
Follow-up
2018 to 2022

Main finding

As reported in the abstract

GroupAnnual fillsAnnual spending
201822.7 million per year$348.3 million
202222.9 million per year$394.4 million per year

Annual fills

201822.7 million per year
202222.9 million per year

Annual spending

2018$348.3 million
2022$394.4 million per year
Increase in annual prescription fills
1.2%
Increase in annual Medicaid spending
13.2%

Observational data: associations, not effects.

Further findings

Outcome20182022
Statins: annual fills and spending
Fills20.4 million20.3 million
Spending$243.9 million$228.3 million
PCSK9 inhibitors: annual fills and spending
Fills7,617121,737
Spending$8.9 million$65.7 million
Icosapent ethyl: annual fills and spending
Fills32,527180,291
Spending$10.2 million$50.2 million
Bempedoic acid: annual fills and spending
Fills4944,619
Spending$215,499$2.2 million

Statins: annual fills and spending

Statin utilization stable; spending decreased

Original publication

Utilization and spending on lipid lowering therapies in medicaid from 2018 to 2022. Am Heart J. Published 25 June 2025. doi:10.1016/j.ahj.2025.06.012

Composed by AI from the published abstract and checked against it. How Briefs are made →

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