10.12.2007 18:00:00
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Lidoderm(R) Unseats OxyContin(R) to Top The Hartford's New List of Top 25 Drugs Used in Workers' Compensation
The Hartford Financial Services Group, Inc. (NYSE: HIG) released its
2006 annual study of the 25 most costly drugs in workers’
compensation, and the results this year may be considered surprising.
OxyContin, the long-acting narcotic painkiller that headed the list each
year since 2001, had dropped to number five, replaced by Lidoderm, a
non-narcotic pain killer in patch form.
"We remain concerned about the widespread use
of narcotic pain killers to manage non-malignant pain in injured workers,”
said Dr. Robert Bonner, MD, MPH and medical director for The Hartford. "Narcotics
account for 40 percent of the workers’
compensation claim dollars we spend on pharmaceuticals, but other pain
management drugs and combinations would work equally well for some
patients and avoid the potential risks associated with narcotics.”
Given OxyContin’s continued popularity in the
face of years of publicity about patients becoming addicted or selling
the drug, it is unclear as to how the use of this drug will trend over
the next few years.
One reason The Hartford publishes its annual study is to track
expenditure over time as they impact trends. The Hartford found workers’
compensation pharmacy costs relatively flat for the past two years,
rising just three percent in 2006 after dropping by one percent in 2005.
Bonner credits his team’s careful and
aggressive pharmacy oversight.
"Pharmacy is now a big portion of workers’
compensation costs, so ensuring that the appropriate medications are
used is not only good for our insured workers, but also helps stabilize
rates for workers’ compensation, an insurance
coverage that virtually every business with employees must carry,”
Dr. Bonner said. "Working with our pharmacy
benefits manager, we flag and investigate drugs that seem inappropriate
for the injury, encourage the use of generic equivalent drugs when
available and talk with physicians when we are concerned about the
safety or reliability of a particular drug.”
Ensuring that the correct reimbursement is made remains a challenge in
the face of steep per-prescription increases. The average per-dose price
of Actiq (#7), already the most expensive drug used for workers’
compensation patients, rose 70 percent, and the anti-depressant
Tofranil-PM (#146), rose by 74 percent.
A complete list of The Hartford’s Top 25
Drugs in Workers’ Compensation accompanies
this news release. The list, which shows ranking by total paid for the
medication for 2004, 2005 and 2006, as well as year by year
paid-per-prescription increases or decreases for each drug, is based on
aggregated worker’s compensation claim data
from The Hartford.
The Hartford, a Fortune 100 company, is one of the nation's largest
diversified financial services companies, with 2006 revenues of $26.5
billion. The Hartford is a leading provider of investment products, life
insurance and group benefits; automobile and homeowners products; and
business property and casualty insurance. International operations are
located in Japan, Brazil and the United Kingdom. The Hartford's Internet
address is www.thehartford.com.
HIG-PC
Some of the statements in this release may be considered forward-looking
statements as defined in the Private Securities Litigation Reform Act of
1995. These include statements about our future results of operations.
We caution investors that these forward-looking statements are not
guarantees of future performance, and actual results may differ
materially. Investors should consider the important risks and
uncertainties that may cause actual results to differ. These important
risks and uncertainties include, without limitation, those discussed in
our Quarterly Reports on Form 10-Q, our 2006 Annual Report on Form 10-K
and the other filings we make with the Securities and Exchange
Commission. We assume no obligation to update this release, which speaks
as of the date issued.
The Hartford's Top 25 Drugs in 2006 Workers' Compensation (Ranked by Total $ Costs)
Rank
Cost Increase(A) Drug Name 2006
2005
2004
2006v2005
2005v2004
Lidoderm
1
4
6
9%
12%
Hydrocodone
2
3
4
-2%
-4%
Oxycodone
3
7
18
1%
21%
Celebrex
4
5
3
1%
0%
Oxycontin
5
1
1
26%
14%
Gabapentin
6
2
NR
0%
26%
Actiq
7
6
7
70%
18%
Lyrica
8
NR
NR
-3%
Fentanyl
9
13
NR
10%
-52%
Ambien
10
10
8
8%
8%
Skelaxin
11
11
9
9%
24%
Tramadol
12
12
15
-5%
-2%
Duragesic
13
9
5
11%
9%
Cyclobenzaprine
14
15
14
4%
-5%
Mobic
15
8
20
13%
10%
Oxyco/Apap
16
19
NR
5%
23%
Carisoprodol
17
14
10
5%
-13%
Cymbalta
18
25
NR
5%
9%
Topamax
19
16
16
8%
8%
Naproxen
20
21
17
0%
-6%
Tizanidine
21
17
11
-4%
-5%
Avinza
22
22
NR
-1%
10%
Effexor
23
18
13
2%
0%
Percocet
24
NR
25
19%
18%
Kadian
25
NR
NR
19%
17%
All Pharmacy
3%
-1%
(A) Change in the average prescription cost in the calendar year
for claimants receiving the drug.
NR - Not ranked in the top 25 in the year identified
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