Asthma: Drugs
(asked on 24th October 2014) - View Source
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how much has been spent on the prescription of asthma drugs in the NHS in each of the last five years.
Information on National Health Service expenditure on drugs for the treatment of asthma in primary and secondary care is in the table.
Drugs for the treatment of osteoporosis have been defined as those included in the following British National Formulary sections:
3.1.1 Adrenoceptor agonists
3.1.2 Antimuscarinic bronchodilators
3.1.3 Theophylline
3.2 Corticosteroids
3.3.1 Cromoglicate and related therapy
3.3.2 Leukotriene receptor antagonists
3.4.2 Allergen immunotherapy (omalizumab only)
Cost of drugs for the treatment of asthma, England1 | ||||||||||
Drug name | Primary Care (£ millions) | Secondary Care (£ millions) | ||||||||
2009 | 2010 | 2011 | 2012 | 2013 | 2009 | 2010 | 2011 | 2012 | 2013 | |
Aclidinium Bromide | - | - | - | 0.02 | 1.62 | - | - | - | 0.00 | 0.03 |
Aminophylline | 1.25 | 1.18 | 1.12 | 1.08 | 1.05 | 0.30 | 0.29 | 0.21 | 0.23 | 0.22 |
Beclometasone Dipropionate | 84.26 | 87.72 | 90.30 | 97.56 | 102.39 | 1.62 | 1.53 | 1.41 | 1.49 | 1.42 |
Budesonide | 140.35 | 149.03 | 158.82 | 169.14 | 177.00 | 1.29 | 1.14 | 1.14 | 1.27 | 1.41 |
Budesonide/ Formoterol | - | - | - | - | - | 2.75 | 2.94 | 2.89 | 3.10 | 3.29 |
Ciclesonide | 0.84 | 0.95 | 1.03 | 1.12 | 1.25 | 0.01 | 0.02 | 0.02 | 0.02 | 0.03 |
Fluticasone | 366.24 | 380.56 | 387.89 | 392.95 | 396.10 | 1.00 | 0.93 | 0.91 | 1.00 | 0.99 |
Fluticasone/ Salmeterol | - | - | - | - | - | 11.46 | 11.56 | 10.69 | 10.82 | 10.48 |
Formoterol Fumarate | 5.18 | 4.87 | 4.68 | 4.85 | 4.93 | 0.10 | 0.08 | 0.07 | 0.06 | 0.06 |
Glycopyrronium Bromide | - | - | - | 0.01 | 2.30 | 0.58 | 0.62 | 0.70 | 0.79 | 1.00 |
Indacaterol Maleate | - | 0.04 | 0.30 | 0.92 | 1.47 | - | 0.00 | 0.00 | 0.02 | 0.04 |
Ipratropium Bromide | 16.15 | 15.02 | 13.74 | 10.32 | 8.61 | 2.74 | 2.84 | 2.59 | 2.65 | 2.70 |
Mometasone Furoate | 0.36 | 0.31 | 0.26 | 0.23 | 0.21 | 0.76 | 0.71 | 0.61 | 0.63 | 0.67 |
Montelukast | 38.91 | 43.01 | 46.96 | 51.71 | 31.31 | 0.98 | 1.02 | 1.03 | 1.16 | 0.81 |
Omalizumab | 0.00 | 0.01 | 0.03 | 0.15 | 0.12 | 5.97 | 9.22 | 12.16 | 14.65 | 17.86 |
Salbutamol | 83.15 | 82.64 | 60.58 | 60.37 | 59.95 | 3.78 | 3.77 | 3.36 | 3.38 | 3.29 |
Salmeterol | 48.80 | 45.16 | 41.87 | 36.72 | 34.04 | 0.87 | 0.74 | 0.59 | 0.53 | 0.47 |
Terbutaline Sulphate | 8.61 | 8.20 | 7.61 | 7.43 | 7.18 | 0.18 | 0.16 | 0.14 | 0.14 | 0.15 |
Theophylline | 2.18 | 2.17 | 2.15 | 2.22 | 2.26 | 0.12 | 0.11 | 0.11 | 0.11 | 0.11 |
Tiotropium | 113.61 | 129.98 | 149.81 | 169.35 | 185.24 | 5.69 | 6.03 | 6.22 | 6.64 | 6.87 |
Zafirlukast | 0.79 | 0.71 | 0.71 | 0.70 | 0.69 | 0.01 | 0.01 | 0.01 | 0.01 | 0.01 |
Other drugs2 | 0.90 | 0.79 | 0.66 | 0.62 | 0.60 | 0.04 | 0.07 | 0.15 | 0.26 | 0.46 |
Total | 911.6 | 952.3 | 968.5 | 1,007.5 | 1,018.3 | 40.3 | 43.8 | 45.0 | 49.0 | 52.4 |
1 Cost of drugs at NHS list price not taking account of discounts, dispensing costs, fees or prescription charges income. Totals may not add up due to rounding.
2 Other drugs include Azelastine/Fluticasone, Bambuterol Hydrochloride, Beclometasone/ Formoterol, Cromoglicic Acid, Fenoterol Hydrobromide, Fenoterol/Ipratropium Bromide, Fluticasone/ Formoterol, Nedocromil Sodium, Orciprenaline Sulfate and Sodium Cromoglicate.
Source:
Prescription Cost Analysis (PCA) provided by the Health and Social Care Information Centre (primary care)
Hospital Pharmacy Audit Index (HPAI) provided by IMS Health (secondary care)
Since some drugs are prescribed to treat more than one condition and as the condition for which a drug is prescribed is not collected, it is not possible to separate the different conditions for which a drug may have been prescribed. The information provided may therefore include costs from the prescribing of these drugs for conditions other than for asthma.