EPIC Program Annual Data Tables 2004-2005: Tables IV-A and IV-B

Table IV-A
Claims, Expenditures and Revenue by Program Year^*

Description	Category	Sixteenth (2002-2003)	Seventeenth (2003-2004)	Eighteenth (2004-2005)
Net State Cost= (Expenditures-Revenue)		$398,450,931	$486,550,971	$477,556,474
Number of Claims	Co-payment	9,131,797	9,919,891	10,184,193
	Deductible	810,150	854,094	932,354
	Total Claims	9,941,947	10,773,985	11,116,547
Expenditures	Total Cost of Drugs	$734,758,484	$892,398,354	$994,273,017
	less Third Party Payments**	$0	$28,001,001	$74,640,427
	less Participant Co-payments	$110,315,610	$119,881,862	$119,958,485
	less Deductible Payments	$44,520,955	$49,573,370	$52,089,489
	Total EPIC Expenditures	$579,921,919	$694,942,121	$747,584,616
Less Revenue	Manufacturers' Rebates***	$159,650,887	$184,095,071	$246,214,041
	plus Participant Fees	$21,820,101	$22,117,521	$18,772,759
	plus Claim Recovery****	$0	$2,178,558	$5,041,342
		$181,470,988	$208,391,150	$270,028,142

^* Table IV-A represents Claims, Expenditures and Revenue by Program Year up to October 2004-September 2005.

^** Total Third Party Payments from Medicare drug discount cards and other insurers.

^*** Manufacturers' rebates were calculated on an accrual basis from April 1991-September 2003 and on a cash basis from October 2003-present.

^**** Retroactive Third Party Claim recoveries from Medicare and other insurers.

Table IV-B
Payment and Utilization by Program Year^*

Paid Claims	Sixteenth (2002-2003)	Seventeenth (2003-2004)	Eighteenth (2004-2005)
Average EPIC Payment per Claim	$58.33	$64.50	$67.25
Average Deductible Payment per Claim	$54.95	$58.04	$55.87
Average Participant Co-payment per Claim	$12.08	$12.09	$11.77
Average Third Party Payment** per Claim	$0	$2.60	$6.71
Average Total Cost per Claim	$73.90	$82.83	$89.44
Number of Participants Reaching Deductible	47,528	59,981	58,569
Number of Participants Reaching Copay limit	30,566	37,813	30,060

^* Table IV-B represents Payment and Utilization by program year up to October 2004-September 2005.

^** Total Third Party Payments from Medicare drug discount cards and other insurers.