Michigan Automated Prescription System

Drug Utilization Report – Year 2018

May 23, 2019

Prepared by

Kimberly Gaedeke, Chief Deputy Director

Department of Licensing and Regulatory Affairs

GRETCHEN WHITMER ORLENE HAWKS

GOVERNOR DIRECTOR
 Table of Contents

Background…………………………....……………………………………..……..…...........................3

Summary…………………………………………………………………………………........................3

Overview…………………………………………………………………………………………………...4

May 23, 2019 Page | 2

Background:

The Michigan Automated Prescription System (MAPS) is the State’s controlled substance prescription
monitoring program within the Bureau of Professional Licensing (BPL), Michigan Department of Licensing
and Regulatory Affairs (LARA). Board of Pharmacy Administrative Rules 338.3162b and 338.3162d state
all pharmacies, dispensing practitioners and veterinarians who dispense controlled substances,
Schedules 2-5, are required to electronically report this prescription data to MAPS on a daily basis. The
Drug Utilization report is posted annually for statistical purposes.

Summary:

The information contained in this report provides the totals of controlled substances, Schedules 2-5,
dispensed between January 1, 2018 and December 31, 2018 that have been reported to MAPS at the
time this report is generated. Information contained in this report includes:

• Age groups
• American Hospital Formulary Service (AHFS) drug description
• Drug schedule
• Drug name, strength, and form
• Total prescriptions
• Total quantity (dosage units)
• Aggregate patient counts
• Average Days Supply
• Total Days Supply
• Average Daily Morphine Milligram Equivalents (MMEs)
• Prescription counts equal to or greater than 90 MMEs

Additional tabs on the spreadsheet provide the above information, broken down by:

• Prescriber county
• Prescriber zip code
• Dispenser county
• Dispenser zip code
• Patient county
• Patient zip code
• Patient summary by county

The following page provides an overview of the controlled substances, Schedules 2-5, dispensed
between January 1, 2018 and December 31, 2018 that have been reported to MAPS at the time this
report is generated. The overview provides the following:

• Total prescriptions
• Total prescriptions quantity (dosage units)
• Total prescriptions days supply
• Total prescriptions opioid MMEs (excluding MAT opioids)
• Prescriptions by drug schedule vs. average days supply
• Total prescriptions by drug schedule for each month
• Total prescriptions by payment type
• Graph and table of prescriptions by drug schedule and age group
• Percentage of prescriptions equal to or greater than 90 MMEs
• Percentage of new prescriptions vs. refill prescriptions
• Percentage of opioid prescriptions, benzodiazepine prescriptions, stimulant prescriptions, and all
other prescriptions

May 23, 2019 Page | 3

 Michigan 2018
Drug Utilization Report Overview
Generated: May 23, 2019

Prescriptions Quantity Days Supply Total Opioid MME

17,642,901 1,051,128,244 441,954,046 6,272,733,819
*Excluding MAT Opioids

Prescriptions by Drug Schedule vs. Average Days Supply

29 10

COUNTS (MILLIONS)
AVG. DAYS SUPPLY

24.64

27 8

PRESCRIPTION
28.43

6
25
4
23 24.57 2
27.30

21 0
Schedule 2 Schedule 3 Schedule 4 Schedule 5

Prescriptions by Drug Schedule Listing Prescription Counts by Payment Type

MONTH SCHEDULE 2 SCHEDULE 3 SCHEDULE 4 SCHEDULE 5
JAN 765,377 129,820 626,321 97,884 Indian Nation 10,697
FEB 693,445 117,800 564,070 78,896 Workers Comp. 57,631
MAR 764,138 130,587 622,581 80,012
APR 710,548 123,717 587,093 72,948 Other/Unspecified 206,504
MAY 744,804 128,866 610,665 68,623
Military 278,645
JUN 679,907 119,249 566,543 61,299
JUL 675,563 118,644 569,517 60,740 Private Pay 1,577,041
AUG 710,028 123,693 582,513 61,727
Medicaid 2,121,718
SEP 641,614 110,677 523,897 59,676
OCT 716,432 124,308 576,854 69,372 Medicare 3,431,471
NOV 682,778 117,374 541,201 67,204
Commercial Ins. 9,959,194
DEC 656,619 115,104 524,315 67,858
TOTAL 8,441,253 1,459,839 6,895,570 846,239

Prescriptions by Drug Schedule and Age

2,500,000
PRESCRIPTION COUNTS

2,000,000

1,500,000

1,000,000

500,000

0
Schedule 2 Schedule 3 Schedule 4 Schedule 5
Ages 4 and younger 5,226 797 19,672 676
Ages 5 to 17 897,886 10,184 120,111 10,530
Ages 18 to 24 470,926 37,391 134,162 17,938
Ages 25 to 34 896,852 221,153 508,513 56,878
Ages 35 to 44 1,042,734 289,874 867,466 101,760
Ages 45 to 54 1,326,355 267,579 1,235,379 163,399
Ages 55 to 64 1,783,532 310,370 1,667,647 219,294
Ages 65 and older 2,017,742 322,491 2,342,620 275,764

Prescriptions > 90 MME vs. All (%) New. Vs. Refill Prescriptions (%) Drug Classification (%)
15.36%
18.50% Other
6.67% Greater
Refill
or Equal to 90

15.18%
Stimulants
46.61%
Opioids
81.50% 22.85%
93.33% New Benzodiazepines
Less than
90
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