EPIC Program Annual Data Tables 2005-2006: Tables IV-A and IV-B

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

Description	Category	Seventeenth (2003-2004)	Eighteenth (2004-2005)	Nineteenth (2005-2006)
Net State Cost= (Expenditures-Revenue)		$486,550,971	$477,556,474	$486,122,557
Number of Claims	Co-payment	9,919,891	10,184,193	10,410,256
	Deductible	854,094	932,354	1,107,765
	Total Claims	10,773,985	11,116,547	11,518,021
Expenditures	Total Cost of Drugs	$892,398,354	$994,273,017	$1,089,577,439
	less Third Party Payments**	$28,001,001	$74,640,427	$101,141,903
	less Participant Co-payments	$119,881,862	$119,958,485	$121,075,046
	less Deductible Payments	$49,573,370	$52,089,489	$54,171,014
	Total EPIC Expenditures	$694,942,121	$747,584,616	$813,189,476
Less Revenue	Manufacturers' Rebates	$184,095,071	$246,214,041	$295,721,272
	plus Participant Fees	$22,117,521	$18,772,759	$21,192,305
	plus Claim Recovery***	$2,178,558	$5,041,342	$10,153,342
	Total Revenue	$208,391,150	$270,028,142	$327,066,919

^* Table IV-A represents Claims, Expenditures and Revenue by Program Year up to October 2005-September 2006.

^** Estimated Third Party Payments from Medicare Part D coverage and other insurers.

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

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

Paid Claims	Seventeenth (2003-2004)	Eighteenth (2004-2005)	Nineteenth (2005-2006)
Average EPIC Payment per Claim	$64.50	$67.25	$70.60
Average Deductible Payment per Claim	$58.04	$55.87	$48.90
Average Participant Co-payment per Claim	$12.09	$11.77	$11.63
Average Third Party Payment** per Claim	$2.60	$6.71	$8.78
Average Total Cost per Claim	$82.83	$89.44	$94.60
Number of Participants Reaching Deductible	59,981	58,569	62,511
Number of Participants Reaching Copay limit	37,813	30,060	50,900

^* Table IV-B represents Payment and Utilization by program year up to October 2005-September 2006.

^** Estimated Third Party Payments from Medicare Part D coverage and other insurers.