Key Takeaways
- In 2022, approximately 60% of U.S. adults reported using at least one prescription medication in the past month.
- From 2015-2018, 48.0% of U.S. children and adolescents aged 0-19 years used at least one prescription medication in the past 30 days.
- In 2021, opioid prescriptions dispensed in the U.S. totaled 142.4 prescriptions per 100 people.
- In 2021, average U.S. per capita spending on prescription drugs was $1,367.
- Prescription drug spending accounted for 9% of total U.S. health expenditures in 2021 at $405 billion.
- Medicare Part D drug spending grew 6% to $118 billion in 2021.
- In 2022, there were 1.4 million adverse drug event (ADE) reports to FDA's FAERS.
- Opioid-related ADEs accounted for 12% of all serious reports in FAERS 2022.
- Anticoagulants caused 20% of emergency department visits for ADEs in adults over 65.
- In 2021, prescription opioid misuse led to 16,416 overdose deaths.
- From 1999-2020, over 562,000 deaths from prescription opioid overdoses.
- 10.3 million people misused prescription opioids in 2021.
- FDA approved 50 new drugs in 2022 under various pathways.
- Prescription Drug User Fee Act reauthorized through 2027 with $4.7B in fees.
- 95% of new molecular entities approved within 10 years post-1984 Orphan Drug Act.
Most Americans use prescription drugs, but costs are high and misuse risks are growing.
Adverse Effects
- In 2022, there were 1.4 million adverse drug event (ADE) reports to FDA's FAERS.
- Opioid-related ADEs accounted for 12% of all serious reports in FAERS 2022.
- Anticoagulants caused 20% of emergency department visits for ADEs in adults over 65.
- From 2006-2014, ADEs led to 262,619 hospitalizations in children.
- Diabetes medications contributed to 11% of ADE ED visits in 2017.
- In 2021, 7.5% of U.S. adults experienced an ADE from prescription drugs.
- Statins were linked to 15,000 rhabdomyolysis cases in FAERS 2010-2020.
- Antibiotics caused 1 in 5 ADE-related hospitalizations in patients over 65.
- SSRI antidepressants had 25% rate of serious ADEs in elderly per meta-analysis.
- From 2000-2019, 3,046 cardiac events reported for fluoroquinolones.
- Opioids caused 46,000 overdose deaths in 2018, many from prescription.
- In 2020, 142,000 emergency visits for non-opioid ADEs.
- Warfarin ADEs led to 33,000 ED visits annually pre-DOACs.
- Immunosuppressants had highest ADE rate at 25.2 per 1,000 users.
- In 2019, 35% of ADEs in hospitals were preventable.
- Atypical antipsychotics linked to 1.5-fold increase in stroke risk in elderly.
- From 2013-2018, 2.3 million ADEs cost $8.6 billion in hospitalizations.
- Oral chemotherapy ADEs occurred in 81% of patients per study.
Adverse Effects Interpretation
Cost Statistics
- In 2021, average U.S. per capita spending on prescription drugs was $1,367.
- Prescription drug spending accounted for 9% of total U.S. health expenditures in 2021 at $405 billion.
- Medicare Part D drug spending grew 6% to $118 billion in 2021.
- Brand-name drugs made up 79% of Medicare Part D spending despite only 12% of prescriptions in 2020.
- Average annual cost of Humira was $82,829 per patient in the U.S. in 2021.
- U.S. spent 2.6 times more per capita on drugs than other high-income countries in 2021.
- Insulin list prices rose 54% from 2014-2018.
- Prescription drug prices increased 40.1% from 2008-2021 after rebates.
- Employer-sponsored insurance drug spending per enrollee was $1,200 in 2022.
- Generic drugs saved the U.S. $2.2 trillion from 2009-2019.
- Net price growth for brand drugs was 5.9% annually from 2014-2021.
- Out-of-pocket spending on drugs averaged $1,222 for Medicare beneficiaries in 2019.
- Specialty drugs accounted for 50% of total drug spending in 2021 despite 2% of prescriptions.
- EpiPen price increased 450% from 2007-2016.
- U.S. prescription drug spending per capita was $1,289 in 2020, highest globally.
- PBM rebates reached $208 billion in 2022 for commercial plans.
- From 2006-2019, drug prices rose 91% while inflation was 27%.
- Medicare spent $37 billion on top 10 drugs in 2021.
- In 2022, average monthly premiums for Medicare Part D were $41.
Cost Statistics Interpretation
Misuse and Overdose
- In 2021, prescription opioid misuse led to 16,416 overdose deaths.
- From 1999-2020, over 562,000 deaths from prescription opioid overdoses.
- 10.3 million people misused prescription opioids in 2021.
- Heroin overdoses increased 4.6-fold from 2010-2019, often starting with prescriptions.
- Benzodiazepine overdoses rose 4-fold from 2002-2015.
- In 2020, 93,331 drug overdose deaths, 75% involving prescription or illicit opioids.
- 2.7 million adolescents misused prescription drugs in 2021.
- Prescription stimulants misused by 5.1 million adults in 2021.
- From 2010-2021, fentanyl-related overdoses from prescriptions surged 24-fold.
- 21% of patients with opioid prescriptions developed opioid use disorder.
- In 2019, 745,000 ED visits for prescription opioid misuse.
- Neonatal abstinence syndrome cases reached 7 per 1,000 births in 2017 due to maternal prescription use.
- 80% of heroin users first misused prescription opioids.
- Stimulant misuse led to 24,486 overdose deaths in 2021.
- Polysubstance overdoses involving prescription benzos and opioids tripled 1999-2017.
- In 2022, 48 states reported increases in prescription drug diversion.
- 1.2 million people initiated nonmedical prescription opioid use annually pre-pandemic.
- Overdose death rate from prescription opioids peaked at 9.0 per 100,000 in 2017.
- In 2021, 107,941 total drug overdoses, 14% prescription-specific.
Misuse and Overdose Interpretation
Policy and Regulation
- FDA approved 50 new drugs in 2022 under various pathways.
- Prescription Drug User Fee Act reauthorized through 2027 with $4.7B in fees.
- 95% of new molecular entities approved within 10 years post-1984 Orphan Drug Act.
- Medicare Drug Price Negotiation under IRA to cover 10 drugs in 2026.
- DEA scheduled 15 new substances as controlled in 2022.
- Generic drug approvals hit 1,000+ annually since 2017 GDUFA.
- 192 warnings issued by FDA for unapproved drug promotion in 2022.
- Biosimilar approvals reached 40 by 2023 under BPCIA.
- REMS programs active for 70 drugs to mitigate risks in 2023.
- Controlled substance prescriptions monitored via PDMP in all 50 states.
- FDA's Sentinel System analyzed 500M+ claims for safety signals in 2022.
- Inflation Reduction Act caps insulin at $35/month for Medicare.
- 3,000+ drug shortage reports resolved by FDA in 2022.
- Accelerated approval pathway used for 81 oncology drugs since 1992.
- E-prescribing mandated for controlled substances under SUPPORT Act by 2023.
Policy and Regulation Interpretation
Usage Statistics
- In 2022, approximately 60% of U.S. adults reported using at least one prescription medication in the past month.
- From 2015-2018, 48.0% of U.S. children and adolescents aged 0-19 years used at least one prescription medication in the past 30 days.
- In 2021, opioid prescriptions dispensed in the U.S. totaled 142.4 prescriptions per 100 people.
- Antidepressant use among U.S. adults increased from 10.7% in 2015-2018 to 13.2% in recent surveys.
- In 2020, statins were used by 28% of U.S. adults aged 40 and over.
- ADHD medication prescriptions for children aged 5-17 rose by 58% from 2003 to 2012.
- In 2019, 16.1 million adults misused prescription psychotherapeutics in the past year.
- Proton pump inhibitors were prescribed to 12.3% of U.S. adults in 2015-2016.
- From 1999-2018, prescription opioid sales per capita quadrupled before declining.
- In 2021, 12.5% of office visits resulted in antibiotic prescriptions.
- Metformin was the most dispensed prescription drug in the U.S. in 2022 with over 100 million prescriptions.
- Levothyroxine prescriptions reached 112 million in 2021.
- In 2020, 4.7% of U.S. adults used prescription benzodiazepines in the past 30 days.
- Prescription drug use among elderly Americans (65+) was 84% in 2019.
- In 2018, 9.2% of pregnant women filled an opioid prescription.
- ADHD stimulant prescriptions for adults increased 58% from 2006-2016.
- In 2022, Ozempic prescriptions surged by 300% year-over-year.
- Antihypertensive medication use was 45.2% among U.S. adults with hypertension in 2015-2018.
- In 2019, 5.9 million children received a mental health prescription.
- Prescription fills for semaglutide reached 9.4 million in 2022.
Usage Statistics Interpretation
Sources & References
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