EPIC Program Annual Report 2009-2010 Appendix: Table XII

Table XII
Distribution of Claims and Expenditures by
Status of Medicare Part D Enrollment*
Claim InformationIn Part DNot in Part DTotal
Number of Claims8,509,7981,168,5459,678,343
Total ExpendituresTotal Cost of Drugs$823,666,108$106,950,272$930,616,380
less Third Party Payments$483,635,959$12,918,024$496,553,983
less Participant Copayments$49,066,588$9,585,936$58,652,524
less Deductible Payments$35,013,832$6,838,130$41,851,962
EPIC Expenditures$255,949,729$77,608,182$333,557,911
Average Claim**=
(Epic Expenditures ÷ Number of Claims)
$30.08$66.41$34.46

* Table XII outlines the difference in expenditures by status of Medicare Part D enrollment for the program year (October 1, 2009 through September 30, 2010).

** Average Claim was calculated using only participants who were enrolled in their stated category for the entirety of the program year.