National Trends in Prescription Drug Expenditures and Projections for 2019

Planned in cooperation with the ASHP Section of Pharmacy Practice Leaders

ACPE Activity Number: 0204-0000-19-030-H04-P
Release Date: July 29, 2019
Expiration Date: July 29, 2022
Activity Type: Knowledge-based  
CE Credits: 1.0 hour, no partial credit
Activity Fee: Members – Free / Non-Member – Not Available  

Activity Overview

The annual forecast of pharmaceutical expenditures in hospitals and clinics provides pharmacy managers with detailed information on trends in prescription expenditures, new drug approvals, patent expirations, and other factors that may impact drug spending in the future. The methods and main findings of the 2019 forecast will be reviewed, including the trends observed in 2018, the projected growth in expenditures in 2019, and factors driving that growth. Suggestions for how to best use the forecast in an individual hospital or health-system will also be provided.  


The American Society of Health-System Pharmacists is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.

Target Audience

This activity was designed to meet the needs of pharmacy leaders responsible for analyzing their drug usage trends and developing their organization’s pharmacy budget. 

Learning Objectives

  • Identify the methods used in the 2019 forecast.
  • Identify the strengths and limitations of the results data.
  • Describe the historical trends in prescription expenditures.
  • Discuss potential  application of the forecast results by pharmacy leaders.
  • Explain reasons for anticipated growth in prescription expenditures in 2019 and beyond.

Schedule of Activities

  • Introduction and Announcements
  • Presentation
  • Questions, Answers, and Discussion


  • Michelle D. Wiest, Pharm.D., BCPS, FASHP, Vice President, Pharmacy Services, UC Health, and Clinical Associate Professor, James L. Winkle College of Pharmacy, University of Cincinnati, Cincinnati, OH
  • Matthew H. Rim, Pharm.D., M.S., Pharmacy Manager, University of Utah Health, Murray, UT
  • JoAnn Stubbings, B.S.Pharm., MHCA, Associate Director, Specialty Pharmacy Services and Clinical Associate Professor, University of Illinois at Chicago, Chicago, IL
  • Mina Tadrous, Pharm.D., M.S., Ph.D., Scientist, Women’s College Hospital and University of Toronto, Toranto, Canada
  • Eric M. Tichy, PharmD, MBA, BCPS, FCCP, FAST; Vice Chair, Supply Chain Management, Mayo Clinic


In accordance with the ACPE's and ACCME's Standards for Commercial Support, anyone in a position to control the content of an educational activity is required to disclose to the accredited provider their relevant financial relationships. In accordance with these Standards, all potential conflicts of interest have been resolved. An individual has a relevant financial relationship if he or she (or spouse/domestic partner) has a financial relationship in any amount occurring in the last 12 months with a commercial interest whose products or services are discussed in the activity content over which the individual has control.

As defined by ACCME, a commercial interest is any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients. The Standards for Commercial Support do not consider providers of clinical service directly to patients to be commercial interests. The existence or non-existence of relevant financial relationships will be disclosed to the activity audience. All identified conflicts of interest must be resolved prior to the activity.

  • All planners, presenters, reviewers, and ASHP staff report no financial relationships relevant to this activity.

Methods and CE Requirements

This activity consists of a recordings of faculty slides presentations, active learning activities, discussion, and handouts. Participants must participate in the activity in its entirety to claim continuing pharmacy education credit online at ASHP eLearning Portal. Follow the prompts online to complete the evaluation, claim credit and view the statement of credit immediately after completing the activity.

Per ACPE requirements, CPE credit must be claimed within 60 days of being earned. Claim your CE at Once you have processed and claimed your CE credit, we encourage you to check your NABP eProfile account to verify your credits were transferred successfully before the ACPE 60-day deadline. It is an electronic direct-report process so your credits should appear in your account within a few minutes. After the 60 day deadline, ASHP will no longer be able to report your credit(s) for this activity.