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Total 30-Day Prescription Fills per Beneficiary
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    Region
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    Total 30-Day Prescription Fills per Beneficiary
    (Year: 2010; Region Levels: State)
    Kentucky 55.9
    West Virginia 54.2
    Louisiana 52.9
    Tennessee 52.9
    Alabama 52.3
    Ohio 51.9
    New York 51.4
    Indiana 50.9
    Wisconsin 50.6
    Michigan 50.5
    Missouri 50.5
    North Carolina 50.2
    Georgia 49.8
    Oklahoma 49.5
    Mississippi 49.4
    Florida 49.2
    Pennsylvania 48.5
    Maine 48.4
    Texas 48.2
    Massachusetts 48.2
    Washington 48.1
    Kansas 48.1
    Virginia 48.0
    Arkansas 47.8
    South Carolina 47.8
    California 47.7
    North Dakota 47.6
    Illinois 47.5
    Rhode Island 47.4
    Vermont 46.7
    Iowa 46.7
    Connecticut 46.5
    New Jersey 46.5
    Utah 46.3
    Maryland 46.2
    Delaware 46.2
    Idaho 46.2
    New Hampshire 46.1
    Minnesota 45.9
    Nebraska 45.8
    Oregon 45.3
    South Dakota 45.3
    Montana 45.0
    Alaska 44.6
    Nevada 43.8
    Colorado 43.0
    Hawaii 42.3
    Wyoming 42.2
    District of Columbia 41.9
    New Mexico 41.7
    Arizona 41.3
    National Average 48.8
    90th Percentile 52.3
    50th Percentile 47.7
    10th Percentile 42.3
        • DENOMINATOR DEFINITION:
        • Prescription drug utilization and spending rates use a 40% Medicare random-sample denominator file for each year from 2006 to 2010. For the 2010 Part D enrollment cohort, patients were included if they (1) were age 65 or older as of 1/1/2010, (2) were alive and continuously enrolled in a stand-alone Medicare Part D plan for all 12 months of 2010, and (3) were not enrolled in hospice or a managed Medicare plan (Medicare Advantage) at any time during 2010.

        • NUMERATOR DEFINITION:
        • All medication use measures were based on Part D event fill records for the time frame specific to each cohort’s observation. The Lexi-Data Basic database (Lexicomp) was used to obtain the drug name, dose, brand or generic status, and active ingredient according to the National Drug Code (NDC).




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    The Dartmouth Atlas of Health Care is based at The Dartmouth Institute for Health Policy and Clinical Practice and is supported by a coalition of funders led by the Robert Wood Johnson Foundation, including the WellPoint Foundation, the United Health Foundation, the California HealthCare Foundation, and the Charles H. Hood Foundation.