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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.
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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