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HOSPITAL PHARMACY PURCHASES UP 19.5% ON AVERAGE IN 1991 -- LILLY REPORT

Executive Summary

Purchases by the average hospital pharmacy totaled $2 mil. in 1991, a jump of 19.5% from the previous year when the average was $1.7 mil., the 1992 Lilly Hospital Pharmacy Survey reports in its 16th annual review. The rate of increase is comparable to 1990, when purchases were up by 19.3%. Purchases per patient day, per bed, per occupied bed and per admission were all up, according to data submitted by 1,143 hospital pharmacies. "Directors of hospital pharmacies may have been able to get wholesalers to hold down their inventories despite the trend to increase purchases," the survey noted. The average inventory turnover rate was 10.4% in 1991, a slight improvement from the 10% rate in 1990. The average hospital pharmacy inventory increased 15.1% to $197.142 in 1991; inventory per patient day rose 45[cents] to $3.27 while inventory costs per bed went up 19% to $788 and inventory per admission grew 12% to $22.66. Wholesalers continued to account for 85% of all hospital pharmacy purchases, as they had in the previous year. Almost all hospitals (98%-100%) with bed capacities ranging from 50 to 499 participated in cooperative buying groups. Only general hospitals with more than 499 beds had a lower level of participation, which was 76%. Estimating the activity of hospitals in for-profit home health care businesses, the survey found about 45% of responders involved in that area. The most frequently offered services are antibiotic therapy, fluid therapy and pain management therapy. Approximately 20% of the hospitals surveyed operate for-profit retail pharmacies. Average annual prescription sales in these pharmacies grew by 19% in 1991 to $1 mil. The average Rx charge increased significantly -- up 54.2% to $28.47.
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