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Prescriptions for Antivirals Drop Off: GoodRx Monthly Report

Tori Marsh, MPHClement Feyt, MPH
Written by Tori Marsh, MPH | Analysis by Clement Feyt, MPH
Published on March 12, 2018
This article is no longer being updated and some information may not be current. Visit the GoodRx Health homepage for our latest articles.

After peaking in January, antiviral prescriptions dropped off in February. Though prescription fills remain at an elevated level as the flu continues to ravage the country, data from the GoodRx Index reveals that the worst of the flu season is over, resembling data from the Center for Disease Control and Prevention.

Cropped shot of a doctor writing on a clipboard.
Ridofranz/iStock via Getty Images

The GoodRx Index also showed other drug trends in February:

  • The number of prescription fills are down by 16%, a typical seasonal variation.

  • Prices for generic medications continued to increase.

  • Average cash prices for a 30-day supply of Estradiol, a menopause drug, increased by 11%.

What do all of these numbers mean?

Prices in the GoodRx Index represent the list price at the pharmacy, also known as the ‘usual and customary’ price. While a majority of people pay for their prescriptions with insurance and are shielded from paying this ‘list price,’ more Americans every day are forced to pay out-of-pocket because of high deductibles, supply limits, or formulary exclusions. Additionally, an upward trend in list price indicates higher prices for both consumers and insurers, even if some insured people won’t be on the hook for the full price.

The Index is based on a nationally representative sample of prescription claims across the U.S.

Antiviral prescriptions

During the worst flu epidemic in years, prescription fills for popular antivirals medications like Tamiflu (oseltamivir) and Relenza dropped in February.

In January, the GoodRx Index revealed that national prescription fills for Tamiflu (oseltamivir) were up by more than 5 times since last year. Some states in the south and midwest were hit especially hard, seeing as much as 14 times more prescription fills for Tamiflu compared to last year.

This upward trend has slackened in recent weeks, as 25% fewer prescriptions were filled for antiviral medications in February compared to January. Additionally, fills for benzonatate, used for cough, are down by almost 40%, and fills for azithromycin, used to treat bacterial infections, are down by 17%. This pattern resembles data from the Centers for Disease Control and Prevention indicating a decline in flu-related hospitalizations and outpatient visits since late January.

Fills for Antiviral Medications (March, 2017 through February, 2018)

Generics remain expensive

There’s been a lot of talk concerning generic pricing recently, and rightfully so. Generic drugs comprise 90% of the prescriptions Americans take, with millions of Americans depending on generics for affordable treatment, but prices have been steadily increasing. Over the past couple of months, cash prices for generic medications have increased by 7.5%, and that trend remained through February.

February’s big movers

Drug prices constantly fluctuate, changing incrementally month over month. One noteworthy price change in February occurred with Estradiol, a popular generic hormone used to treat menopause symptoms and prevent osteoporosis. Prices climbed by over 11% since January, rising from $78.93 to $88.44. This price increase is nothing new – back in 2013, the average cash price for a 30-day supply of Estradiol was a mere $26.

The most popular drugs in February 2018

Every month, GoodRx tracks the most popular drugs prescribed in the U.S., comparing total prescriptions written and filled for all forms of the medications. This analysis is based on a representative sample of prescriptions filled at U.S. pharmacies across the 50 states. The result is a top 10 list of the most prescribed drugs in the United States.

  1. Atorvastatin

  2. Levothyroxine

  3. Lisinopril

  4. Hydrocodone/acetaminophen

  5. Amlodipine

  6. Ventolin

  7. Amoxicillin

  8. Omeprazole

  9. Prednisone

  10. Ibuprofen

Some other drug news from February

  • Last year Walgreens purchased over 1,900 Rite Aid Stores, and in February, these stores started to switch over to the Walgreens family. Learn more about how this may affect you here.

  • GoodRx data revealed when the most romantic time of year is. Read more here. Hint – it’s not Valentines Day

  • A treatment was approved in Japan that can beat the flu virus in just one day. It’s still a couple years out from being available in the U.S., but you can read about it here.

  • Endo Pharmaceuticals discontinued Sumavel for migraines. You can read about options to replace Sumavel here.

  • People with a high deductible shared their stories about using GoodRx. Read those here.

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Tori Marsh, MPH
Written by:
Tori Marsh, MPH
Tori Marsh is GoodRx’s resident expert on prescription drug pricing, prescribing trends, and drug savings. She oversees the GoodRx drug database, ensuring that all drug information is accurate and up to date.

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