---
title: Prescription Drug Coverage for Persons with CKD - 2018
description: A look at prescription drug coverage for CKD patients gleaned from 2018 USRDS Annual Data Report.
image: https://blog.transonic.com/hubfs/kidney%20care%20news-3.jpg
---

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# Prescription Drug Coverage for Persons with CKD - 2018

By [Susan Eymann, MS](https://blog.transonic.com/hemodialysis/author/susan-eymann-ms)09 Mar 2020

*(Gleaned from the 2018 USRDS Annual Data Report: Volume 1, Chapter 8: [www.usrds.org)](https://www.usrds.org/media/1693/v1_00_execsummary_18.pdf)*

Pharmaceutical therapy serves as a critical part of CKD treatment in order to control and reduce complications and delay the progression of the disease. Therefore, a new chapter ![kidney care news-3](https://blog.transonic.com/hs-fs/hubfs/kidney%20care%20news-3.jpg?width=300&name=kidney%20care%20news-3.jpg)about prescription drug coverage to persons with chronic kidney disease (CKD) was added to the USRDS 2018 Annual Data Report (ADR), particularly in light of the continuing prescription opioid epidemic.

## Highlights:

- Approximately 73.7% of chronic kidney disease (CKD) patients enrolled in Medicare Part D in 2016, which was slightly higher than general Medicare enrollment at 69.5%.
- As compared to White beneficiaries (29.3%), much higher proportions of Asian (73.8%) and African American (62.8%) CKD Part D beneficiaries qualified for the Low-Income Subsidy LIS).
- Among patients with stand-alone Part D Medicare plans, per person per year (PPPY) insurance spending on prescriptions was 1.6 times higher for Medicare patients with CKD ($4,941) than for general beneficiaries ($3,027) in 2016.
- Total spending for Part D-covered medications in 2016 was more than twice as high for patients with the LIS than for those without, regardless of the presence of CKD. Patient out-of-pocket costs for LIS patients represented only a 1.2% to 1.3% share of these total expenditures, as compared to 25.3% to 27.0% in each of the non-LIS populations.
- Prescriptions for lipid-lowering agents, antibacterials, renin-angiotensin-aldosterone system inhibitors, and β-adrenergic blocking agents (beta blockers) were each filled by more than 50% of Medicare CKD patients during 2016 CKD patients with Medicare Advantage and managed care coverage showed similar patterns of use for these drug classes.
- By drug class, the highest medication expenditures for patients with CKD were for antidiabetic agents, followed by antineoplastic agents, antivirals and lipid-lowering agents.
- In the United States, the overall proportion of CKD patients using prescription non-steroidal anti-inflammatory agents (NSAIDs) was 16.4% and opioids were 43.8%.  
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