In a perfect world, patients would:
- Take medications precisely as prescribed
- Be prescribed the most affordable, most effective medication
- Receive medications using the safest, most cost-effective delivery channel
But we know that these three things aren’t happening. And because of it, the system is weighed down in pharmacy waste.
The Size of the Pharmacy Waste Problem
In 2011, suboptimal pharmacy-related behaviors contributed to more than $408 billion in waste. That’s equal to more than $1,300 for each American. We’re just talking about pharmacy waste, which only includes costs that have resulted in no additional health benefits.
The Express Scripts Solution
Researchers at the Express Scripts Research & New Solutions Lab have pioneered more than 45 pilot studies to take on the main sources of pharmacy waste:
- Whether they take their medications as prescribed (the importance of being adherent)
- Potential pharmacy waste reduction: $317.4 billion*
- Where people get their medications (the value of home delivery vs. retail pharmacy)
- Potential pharmacy waste reduction: $96.3 billion*
- Which medications they get (utilization of lower-cost, clinically equivalent generics)
- Potential pharmacy waste reduction: $49.8 billion
* We estimate that approximately $55 billion of pharmacy waste is due to nonadherence that could be removed by patients receiving their medications through home delivery. Therefore, this amount is included in both the $317.4 billion and $96.3 billion, but not double-counted in the $408 billion of total waste.
In this section, we’ll talk about the insight we get from the Lab and Express Scripts’ proposed solutions. We’re looking forward to sharing and discussing our new ideas.