Tables 1–3 show the top 10 subsidised drugs for the year July 2015 – June 2016. The figures are based on PBS and RPBS prescriptions from the date of supply, and do not include private prescriptions or prescriptions under the co-payment.

This year’s tables are notable for the arrival of the drugs which aim to eradicate hepatitis C. Table 3 shows that since the drugs were subsidised in March 2016 the expenditure on sofosbuvir alone, or in combination with ledipasvir, is approaching $1 billion.

 

Table 1 - Top 10 drugs by DDD/1000 pop/day *

Drug

DDD/1000 pop/day *

1. atorvastatin

52.81

2. perindopril

33.82

3. rosuvastatin

33.56

4. amlodipine

30.66

5. paracetamol

26.85

6. irbesartan

25.60

7. esomeprazole

23.18

8. candesartan

22.71

9. ramipril

20.40

10. telmisartan

18.87

 

Table 2 - Top 10 drugs by prescription counts

Drug

Prescriptions

1. atorvastatin

7 630 309

2. esomeprazole

6 889 031

3. rosuvastatin

6 540 962

4. paracetamol

5 056 087

5. pantoprazole

4 747 823

6. perindopril

4 049 113

7. metformin

3 578 536

8. pregabalin

3 237 101

9. fluticasone and salmeterol

3 003 985

10. salbutamol

2 975 537

 

Table 3 - Top 10 drugs by cost to government

Drug

Cost to government (A$)

DDD/1000 pop/day *

Prescriptions

1. ledipasvir and sofosbuvir

570 730 056

†

25 205

2. sofosbuvir

372 094 623

0.14

18 738

3. adalimumab

335 857 859

0.62

194 405

4. ranibizumab

241 256 012

†

163 595

5. aflibercept

231 194 036

†

155 404

6. esomeprazole

170 554 177

23.18

6 889 031

7. etanercept

166 538 773

0.32

97 291

8. trastuzumab

157 134 2 1 1

†

50 217

9. fluticasone and salmeterol

148 878 399

†

3 003 985

10. insulin glargine

146 202 125

7.71

367 253


* DDD/thousand population/day is a more useful measure of drug utilisation than prescription counts. It shows how many people in every thousand Australians are taking the standard dose of a drug every day. DDD includes use in combination products. The calculation is based on ABS 3101.0 – Australian Demographic Statistics for December 2015 (as at March 2016).

† The World Health Organization has not allocated a DDD for this drug.

DDD defined daily dose

PBS Pharmaceutical Benefits Scheme

RPBS Repatriation Pharmaceutical Benefits Scheme

Source: Department of Health, October 2016. © Commonwealth of Australia

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