OF TtiE UP-i&D WA!34rNGTON. O.C. 20548 B-164031 (3) lllllllllllllllllllllllllllllllllll LM095524 f , i’ Dear >i’r . Chairman : Enclosed are listings of prescribed drug,s provided,+ recinients,o,f. L___-_---- .ol,d:a.ge -.e__- assistan~‘-rn_~;lrsing~ _+e-.z.,w-,a. -- .-c‘_~--*“~_i_~.. homes under the _.- _._I.^ bgdicaid program in Illinois. This information was obtained to your request of July. 22, 1971. The information was furnished to us by officials of the \ Illinois Department of Public Aid in the form of computer ~~r”‘l / printouts listing purchases by drug name, number of prescrip- tions J and amount paid during the first month of each quarter of calendar year 1970. !qith the assistance of a registered pharmacist on our staff, we grouped these drugs into 25 cate- gories of drugs. The categories which we used are those con- tained in the American Hospital Formulary Service published by the American Society of Hospital Pharmacists. As shown on schedule I, Central Nervous System drugs-- c-which include tranquilizers--represent about 35 percent of all amounts paid for drugs on behalf of nursing home patients Curing these months. On schedules II through V xe have iden- tif ied the specific types of drugs which account for the ma- jority of the purchases under the Central iu’ervous System category. I Q Schedule VI consists of selected statistical information on the hledicaid and intermediate-care programs in Illinois for 1970 and schedule VII is a general definition of the drug cat- egories used in schedule I. In accordance with your request of July 22 and subse- quent discussions with your office, similiar information is being obtained in Chio and New Jersey; when completed we will furnish you a report on the rcsr:lts of our work in all three Statfss. : ‘ . , L B-164031 (3) We plan to xake no further distribution cf this report unless copies are specifically requested and then we shall make distribution.only after your agreement has been obtained or public announcement has been made by you concerning the contents of the report. Sincerely yours, Comptroller General i!isi!!g of the United States Enclosures-7 The Honorable Frank E. Moss Chairman, Subcommittee on Long-Term Care ! * Special Committee on Aging $“” ” United States Senate 2 SCHEDULEI ILLINOIS MEDICAID DRUGPROGRAM NUMBEROF PRESCRIPTIONSAND AMOUNTPAID FOR DRUGS PROVIDEDTO RECIPIENTS OF OLD-AGE ASSISTANCE IN NURSINGHOMESFOR JANUAR;, APRIL, JULY, AND OCTOBER1970 A3 t Prescriptions Category u;, Number Amount T,p -b\ Antihistamine Drugs % - 6,716 $ 21,328.43 Anti-Infective Agents 5% 20,503 103,455.06 Antineoplastic -Agents 19 73.68 Aotonomic Drugs % ,i\ 11,045 44,794.87 Blood Derivatives % - Blood Formulation and Coagulation $f? 4,430 9,623.40 Cardiovascular D-rugs G 26,689 81,836.27 Central Nervous System Dpugsl $$, 85,234 407,101.31 Diagnostic Agents 146 228.34 Electrolytic, Caloric, and Water Balance 24,636 96,896.38 Enzymes 302 2,288.26 Expectorants and Cough Preparations 3,884 8,842.61 Eye, Ear, Nose and Throat Preparations 761 1,572.71 Gastrointestinal Drugs 32,650 108,458.43 Gold Compounds Heavy Metal Antagonists Hormones and Synthetic Substitutes 13,852 62,212.44 Local Anesthetics Oxytocics Radioactive Agents Serums, Toxoids and Vaccines 3,429 10,0;6.74 Skin and Mucous Membrane Preparations 7,167 24,794,98 Spasmolytic Agents 3,228 10,398.80 Vitamins 29,929 84,984.09 Unclassified Therapeutic Agents 109 638.65 Other Unclassified Drugs2 19,104 85,774.24 Total ' 293,833 $1,165,359.69 lThis category, which includes tranquilizers, represents about 35 percent of all amounts paid for drugs on behalf of nursing home patients. ‘Includes drugs purchased under national formularies such as the National Fonnu- lary and U.S. Fharmacopeia; compounded prescriptions; specially approved drugs, and medical suppiies such as cotton, gauze, s,.*ringes and hypodermic needles. SCHEDULEII ILLINOIS MEDICAID DRUGPROGRAM NUMBEROF PRESCRIPTIONSAND AMOUNTPAID FOR CENTRALNERVOUSSYSTEMDRUGS PROVIDEDTO RECIPIENTS OF OLD-AGE ASSISTANCE IN NURSINGHOMESFOR JANUARY, APRIL, JULY, AND OCTOBER1970 PrescriDtions Number ATnount GENERALANESTHETICS ANALGESICSAND ANTIPYRETICS 23,666 $X4,943.22 IWRCOTIC ANTAGONISTS ANTIcoNvuLsANTs 2,151 5,554.54 PSYCHOTHERAPEUTIC AGENTS: Antidepressants 3,456 22,496.69 Tranquilizers 32,153 207,015.48 Other Psychotherapeutic Agents 186 1,367.54 I RESPIRATORYAND CEREBRALSTIMULANTS 1,615 6,721.23 SEDATIVESAND HYPNOTICS 22,007 49,002.61 Total --85,234 $407,101.31 = NUiE: CornSid Cmipazine Quagesic 323 Fluephenazi 1,179 $ 1,ml.oo Haldol ne Dihydrochlori 189 51313.91 Hydroxyzine !de 182 19423.81 Libras 258 lJ57.57 Librim 1,321 2J78.01 Mellaril 246 109384.23 Meprobamate 3,265 lJ77.79 Sera 6,854 2L351.37 Sparine 1,738 53,526,51 Stelazine 227 7,346.58 Thorazine 2,164 1,542.32 ~rancopal LlOO 15,006.OO Trilafon 10,146 8,059.72 Valium 19 55324.11 Vesprin 8% 115.28 1,901 69038.73 Total i47 13,270.28 J&l53 $207,015.48 SWEDULE IV ILLINOIS MEDICAID DRUGPROGRAM NUMBEROF PRESCRIPTIONSAK-DAMOWT PAID FOR ANALGESICSAND ANTIPYRETICS PROVIDEDTO RECIPIENTS OF OLD-AGE ASSISTANCE IN NURSINGHOMESFOR JANUARY, APRIL, JULY, AND OCTOBER1970 Prescrintions Number Amount MM: Acetaminophen 944 $ 29687.44 Analgesic balm 105 111.94 A.P.C. 291 314.98 Aspirin 237 279.28 Aspirin, buffered 539 797.14 Aspirin, enteric coated 2,276 6,449.56 Butazolidin 636 3,802.40 Codeine with aspirin, phenacetin and caffeine 1,104 3,079.14 Codeine phosphate 26 68.73 Colchicine 53 138.42 Crystoids 1 1.25 Darvon 1,790 9,087.60 Darvon compound 10,524 59,491.90 Darvon with A.S.A. 341 2J25.43 Demerol HCL 134 445.94 Dilaudid XL 9 19.44 Fiorinal 236 709.36 Indocin 2,126 16,636.09 Leritine 5 16.42 Methadome #CL 6 16.26 Morphine sulfate 9 28.19 Pabalate s 411 1,58X14 Pabalate--sodium free a44 3,579.33 Percodan 72 278.86 Sodim salicylate 637 1,620.97 Talwin 310 1,572.Ol Total 23,666 $114,943.22 . SCHEDULEV ILLINOIS MEDICAID DRUGPROGRAM NUKBEROF PRESCRIPTIONSAND AKWNT.PAID FOR SEDATIVES AND HYPNOTICSPROVIDED TO RECIPIENTS OF OLD-AGE ASSISTANCE IN NURSINGHOKESFOR JANUABY, APRIL, JULY, AND-OCTOBER1970 Prescriptions Number amount MANE: Amobarbital 277 _ $ 545.53 Amobarbital sodi*a 325 711.99 Butabarbital sodium 1,306 3,157.47 Chloral hydrate 6,141 15,294.31 Doriden 2,964 8,419&O Bentobarbital sodium 2,187 3,643.83 . Phenobarbital 4,043 6,579.52 Placidyl 1,932 5,808.53 Secobarbital sodium 2,832 4,841.83 Total 22,007 $49,002.61 . *. . SCHEDULEVI -, - ILLINOIS MEDICAID DRUGPROGRAM SEJECTEDSTATISTICAL INFOPIMATION ON ILLINOIS MEDICAID AND INTERMEDIATE-CARE PROGRAMS FOR CALENDARYF4R 1970 MEDICAID PROGRAM: Started January 1966 1970 expenditures: Amount (millions) $200.6 Federal share (millions) $100.3 DRUGS: 1970 expenditures: Amount (millions) $ 22.2 Federal share (millions) $ 11.1 Percent of total Medicaid expenditures 11.1 NURSINGHOMXCARE: Skilled nursing care: 1970 expenditures: Amount (millions) $ 5.3 Federal share (millions) $ 2.7 Percent of total &dicaid expenditures 2.7 Patient days of care paid for 598,349 Intermediate nursing care: 1 1970 expenditures: Amount (millions) $ 62.6 Federal share (millions) $ 31.3 Patient days of care paid for 7,773,530 1Provided to eligible persons not in need of skilled nursing care but in need of more intensive care than that provided in residential facilities. SCHEDULE VI I GENERAL DEFIKITION OF DRUG CATEGORIES -Antihistamine Drugs--Products used to alleviate the symptoms of hayfever, allergy, and the common cold. Anti-Infective Agents-- Products used in the treatment of bac- terial and viral diseases. Antineoplastic Agents--Products used in the treatment of cancer . Autonomic Drugs--Products whose primary effect is on the ner- vous system and includes drugs used to treat abnormali- ties in smooth muscle tone and certain abnormal eye con- ditions. .. Blood Derivatives --Products used in blood replacement. Blood Formulation and Coagulation--Products used to enhance formation of blood cell products and components, includ- ing the treatment of anemia and the treatment and preven- tion of blood clotting. Cardiovascular Drugs--Products used to treat abnormal blood pressure, heart congestion, and cardiac insufficiency. Central--Drugs--Products whose primary effect is on the brain and are used to excite, sedate, tranquil- ize, or relieve pain. Diagnostic Agents --Products used to diagnose diseases and in laboratory analysis. Electrolytic, Caloric, and Water Balance--Products used to re- store water baiance of body fluids. Also, products are used to help eliminate abnormal water retention in tis- sues. Enzymes - -Products derived from naturally occurring substances and generally used to expedite or retard a natural body process. Frequently, these products are also used to treat undesirable blood coagulation. Expectorants and Cough Preparations--Products used to allevi- ate coughs and to break up excessive sputum. . ” I . . , * SCHEDULE VII \* ’ Eqe, Ear, Kose, and Throat Preparations--Anti-infectives, anti-inflanmatories, and pain reducers used in treat- ment of eye, ear, nose, or throat disorders. IGastlointestinal --- Drugs --Drugs used to treat hyper-acidity, diarrhea, nausea, and vomiting. Gold Compounds--Products containing gold and generally used in treatment of rheumatoid arthritis. Heavy F!etal Antagonists--Products used primarily to treat cer- tain types of poisoning. Hormones and Synthetic Substitutes--Products used to treat hormonal deficiencies, inflammations, diabetes, and thy- roid conditions. Local Anesthetics--Preparations used for relieving pain on body surfaces, joints, and mucous membranes. Oxytocics --Products used to control or induce uterine con- tractions. Radioactive Agents --Radioactive products used most frequently as diagnostic agents or tracers. Serums, Toxoids, and Vaccines --Naturally occurring substances generally used to treat or prevent infection and to treat certain types of poisoning. Skin and FIucous Membrane Preparations --Products used to treat infections, inflammations, and itching of the skin. Spasmolytic Agents --Products which act largely on smooth mus- cle tissue in treating asthma and occasionally in treat- ing gastrointestinal disorders. Vitamins --Products used to supplement body enzymes. Unclassified Therapeutic Agents-- Products of naturally occur- ring substances which are not classified elsewhere.
Prescribed Drugs Provided to Recipients of Old-Age Assistance in Nursing Homes Under the Medicaid Program in Illinois
Published by the Government Accountability Office on 1971-09-10.
Below is a raw (and likely hideous) rendition of the original report. (PDF)