Source: IQVIA Market Prognosis, IQVIA Institute, Mar 2018
Chart notes: Invoice spending is based on IQVIA reported values from wholesaler transactions measured at trade/invoice prices and exclude off-invoice discounts and rebates that reduce net revenue received by manufacturers. Net spending reflects company recognized revenue after off-invoice discounts, rebates and price concessions are applied.
(Specifically for Total Chart) Includes all medicines in both pharmacy and institutional settings.
(Specifically for Retail Chart) Includes medicines in retail and mail settings. CMS Prescription drug expenditures in the National Health Expenditure Accounts include all payers at retail pharmacies and then deduct rebates, whereas some of the concessions made by manufacturers and deducted in IQVIAs estimates are not considered by CMS.
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Net total spending growth will be slower than retail invoice growth over the next five years
Forecast
Growth
Spending US$Bn
700
600
500
400
300
200
100
15%
10%
5%
0%
-5%
-10%
0
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
Invoice to Net Difference
Net Spending
Reflects the revenues for manufacturers after all discounts and rebates paid to intermediaries, the government or patient coupons have been deducted.
Reflects the difference between invoice spending (sales by manufacturers measured between wholesalers and their customers) and net spending.
Reflects the revenues for manufacturers after all discounts and rebates paid to intermediaries, the government or patient coupons have been deducted.
Reflects the difference between invoice spending (sales by manufacturers measured between wholesalers and their customers) and net spending.
Reflects the revenues for manufacturers after all discounts and rebates paid to intermediaries, the government or patient coupons have been deducted.
Invoice Spending Growth
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Net Spending Growth
Invoice to Net Difference
Net Spending
Toggle between Total and Retail to take a closer look at the difference and rollover the legend for more details about net and invoice spending
Retail
Total
Retail and mail-order spending will grow at 3–6% on an invoice basis over the next five years and 1–4% on a net basis.
Net total spending growth will average 2–5% over the next five years and invoice growth will average 4–7%.
Retail
Total