{"id":5082,"date":"2019-08-13T09:00:15","date_gmt":"2019-08-13T13:00:15","guid":{"rendered":"https:\/\/www.singlecare.com\/blog\/?p=5082"},"modified":"2021-04-16T14:55:09","modified_gmt":"2021-04-16T18:55:09","slug":"most-popular-prescription-drug-every-state-singlecare","status":"publish","type":"post","link":"https:\/\/www.singlecare.com\/blog\/most-popular-prescription-drug-every-state-singlecare\/","title":{"rendered":"The most popular prescription drug in every state"},"content":{"rendered":"

Made a trip to your local pharmacy lately? You\u2019re not alone. It\u2019s estimated that nearly 4.25 billion prescriptions will be filled in just 2019. And that comes at a big cost. The average American pays $1,200 a year<\/a> on prescription drugs.<\/p>\n

SingleCare aims to help people save on their medications with our pharmacy discount card. Since 2014, millions of users have saved millions of dollars on prescription drugs. In fact, tens of thousands of scripts are filled with SingleCare every day. In all those purchases, we started to notice a few trends.<\/p>\n

When you leave your doctor\u2019s office with a prescription, you probably don\u2019t spend a lot of time thinking about how many other people in your state are filling that same one. But some drugs are<\/em> prescribed more commonly in certain states than in others.<\/p>\n

We looked at the popular prescription medications being filled most often by our users in all 50 states in addition to Washington, D.C., Virgin Islands, and Puerto Rico. Here, we talk to experts about what these medications do, which conditions they treat, and why they might be prescribed so frequently in certain areas.<\/p>\n

Which drug is filled most commonly in your<\/em> state among SingleCare users? Read on to find out!<\/p>\n

\"The<\/a><\/p>\n

Proair and Ventolin<\/h2>\n

(Alaska, Oregon, and Washington)<\/strong><\/p>\n

You might have heard of Proair or Ventolin if you are asthmatic\u2014<\/span>or know someone who is. They\u2019re both brand name bronchodilators, a.k.a. short-acting albuterol inhalers that relax the muscles of the lungs. They can relieve symptoms of asthma and chronic obstructive pulmonary disease<\/a> (COPD).<\/p>\n

These types of drugs are used as rescue inhalers once a person has already begun wheezing, coughing, or having shortness of breath, explains Jennifer Trevor, M.D., assistant professor of Pulmonary, Allergy, and Critical Care Medicine at the University of Alabama at Birmingham<\/a>.<\/p>\n

She adds that environmental factors like extreme heat or cold, prolonged humidity, and high altitudes can be a trigger for some individuals with airway diseases, which might explain why these medications are prescribed frequently in Alaska, Oregon, and Washington, where those climates prevail.<\/p>\n

Additionally, Trevor says the smoking rate of a state can play a role since smoking increases the rate of COPD. Alaska reports some of the highest cigarette use in the U.S., according to a 2017 CDC report<\/a>. Occupational exposures, proximity to major roadways or industrialized areas, and insurance coverage likely all factor into high rates of rescue inhaler prescriptions as well.<\/p>\n

Get your SingleCare coupon for <\/em>ProAir<\/em><\/a> and <\/em>Ventolin<\/em><\/a> here.<\/em><\/p>\n

\"The<\/a><\/p>\n

Prescription vitamin D capsules in 50,000IU<\/h2>\n

(Alabama, Connecticut, Washington, D.C., Florida, Georgia, Illinois, Kentucky, Maryland, Minnesota, North Carolina, New Jersey, New York, Ohio, Pennsylvania, Puerto Rico, Rhode Island, South Carolina, Tennessee, Virginia, and West Virginia)<\/strong><\/p>\n

We probably don\u2019t need to explain what vitamin D is to you. But just in case: it\u2019s a vitamin you get from the sun and in foods such as milk and fish. A diet rich in vitamin D will help your body use calcium to facilitate strong bones. But if you\u2019re not getting enough vitamin D, the supplement is available over the counter at most drug stores \u2026 so why is it the most commonly filled prescription<\/em> drug on this list?<\/p>\n

The answer might be in a somewhat out-of-date practice that hasn\u2019t quite caught up to modern medicine, says Joshua Septimus, M.D., an internist at Houston Methodist Hospital<\/a>.<\/p>\n

\u201cThere was a push about 10 years ago to screen and treat for vitamin D deficiency in patients,\u201d Septimus explains. \u201cBut over those same 10 years, studies have shown no benefit to supplementation\u2014now every major organization that looks at the hard science is recommending against routine screening for vitamin D deficiency.\u201d<\/p>\n

As an example, the U.S. Preventive Services Task Force<\/a>, says the evidence for screening for vitamin D is insufficient and lacks consensus, but despite their recommendations, doctors are still frequently prescribing it. This may be a continuing response to the serious medical problems that can result from deficiency.<\/p>\n

\u201cNot having enough vitamin D can cause conditions like rickets and osteoporosis,\u201d says Laura Balsamini, Pharm.D., national vice president of pharmacy services at Summit Medical Group<\/a> in New Jersey. \u201cThese conditions are especially dangerous for children, who are constantly growing and [need nutrients that aid healthy bone development].\u201d<\/p>\n

Dr. Septimus adds that other groups at risk for conditions related to vitamin D deficiency include Africans Americans, people who live in northern latitudes with longer winters, and populations with poorer diets heavy in fast foods and processed foods.<\/p>\n

As far as why doctors write prescriptions for vitamin D (versus simply telling their patients to buy it OTC), it primarily comes down to convenience. \u201cWhen you look at how much vitamin D is needed, a prescription will have 50,000 units per capsule\u2014not 2,000 like the OTC supplements,\u201d Dr. Balsamini explains.<\/p>\n

If you’re interested to see that Vitamin D as the most popular medication filled in sunny locations like Florida and Puerto Rico, it could be because of prevention. In these southern states, people are more concerned about preventing skin cancer and are spending less time outdoors. When they are outdoors they are covered up and applying sunscreen, which prevents Vitamin D absorption from the sun.<\/span><\/p>\n

Get your SingleCare coupon for prescription <\/em>vitamin D<\/em><\/a> here.<\/em><\/p>\n

\"The<\/a><\/p>\n

Freestyle Kit Sensor<\/h2>\n

(North Dakota)<\/strong><\/p>\n

Not exactly a \u201cdrug,\u201d Freestyle is an insulin home monitoring kit for patients with diabetes\u2014however, you still need a prescription for it. Even though diabetes is prevalent across the U.S., only North Dakota ranks at the top for Freestyle prescriptions. Is this a random occurrence, or one that points to something state-specific?<\/p>\n

\u201cDiabetes rates are very high in people who are of Native American descent,\u201d says Dr. Septimus. According to the American Diabetes Association<\/a>, American Indians and Alaska Natives have the highest rate of diabetes among all U.S. racial and ethnic groups\u2014and they also comprise North Dakota\u2019s largest minority group, per the North Dakota Census Office<\/a>.<\/p>\n

But there also could be an entirely different reason why Freestyle is prescribed so often in North Dakota, and it\u2019s as simple as advertising. \u201cFreestyle trending in a state [could mean] the company has done a good job marketing its product to that state,\u201d Dr. Septimus says.<\/p>\n

Get your SingleCare coupon for a <\/em>Freestyle kit sensor here<\/em><\/a>.<\/em><\/p>\n

\"The<\/a><\/p>\n

Amphetamine\/dextroamphetamine tablets in 20mg<\/h2>\n

(New Hampshire, Utah, and Wisconsin)<\/strong><\/p>\n

Amphetamine\/dextroamphetamine is a stimulant<\/a> usually sold as Adderall, and according to Dr. Balsamini, it\u2019s used for the treatment of Attention Deficit-Hyperactivity Disorder<\/a> (ADHD) and narcolepsy. The drug sends signals to the brain that work for both conditions, increasing alertness and wakefulness for patients with narcolepsy and improving executive functioning for patients with ADHD.<\/p>\n

There\u2019s widespread usage across the country of medications for the treatment of ADHD (similar prescriptions include Ritalin<\/a> and Vyvanse<\/a>), but as for why amphetamine\/dextroamphetamine is being prescribed so often in Utah and Wisconsin, it\u2019s a bit of a mystery.<\/p>\n

\u201cI really can\u2019t draw any conclusions about why it\u2019s the top-filled drug in those states, other than to say that the patient population there is being diagnosed more than in other states,\u201d says Dr. Septimus. \u201cWe usually see high use in wealthier areas because you need a lot of resources to get to the doctor and receive an ADHD diagnosis.\u201d<\/p>\n

Get your SingleCare coupon for <\/em>amphetamine\/dextroamphetamine here<\/em><\/a>.<\/em><\/p>\n

\"The<\/a><\/p>\n

Sildenafil tab in 100mg<\/h2>\n

(Hawaii, Massachusetts, and Minnesota)<\/strong><\/p>\n

If you think you\u2019ve never heard of sildenafil, you\u2019re wrong…you probably just know it by its brand name, Viagra. Medications for the treatment of erectile dysfunction have become increasingly popular prescriptions in the past few years, and that\u2019s partly due to lowered costs.<\/p>\n

Viagra saw a serious price reduction in 2017<\/a>, when the company that creates it, Pfizer, introduced a generic version. This could contribute to its popularity in states like Hawaii, Massachusetts, and Minnesota.<\/p>\n

\u201cWhen Viagra was only available as a non-generic drug,\u201d Dr. Balsamini explains, \u201cit was approximately $20 per pill and prescription insurance would only allow six tablets per month.\u201d But not anymore: You can purchase generic Viagra for substantially less\u2014with or without insurance, when you use a pharmacy discount card like SingleCare.<\/p>\n

Still, Septimus says a high rate of Viagra usage typically indicates a wealthy population with the money to utilize what is considered by many as a recreational, lifestyle drug.<\/p>\n

Get your SingleCare coupon for <\/em>sildenafil here<\/em><\/a>.<\/em><\/p>\n

\"The<\/a><\/p>\n

Amlodipine tab in 5mg and 10mg, Lisinopril tab in 20mg, and Losartan in 50mg<\/h2>\n

(Arkansas, Delaware, Iowa, Indiana, Kansas, Louisiana, Missouri, Mississippi, Nebraska, New Mexico, Oklahoma, South Dakota, Virgin Islands)<\/strong><\/p>\n

All three of these drugs\u2014amlodipine, lisinopril, and losartan\u2014are used for the treatment of hypertension<\/a>, or high blood pressure. But they each work in different ways.<\/p>\n

Amlodipine lowers blood pressure by preventing the build-up of calcium in blood vessels, which makes it easier for them to dilate, explains Jay A. Pandit, MD, a cardiologist at Northwestern Medicine Regional Medical Group<\/a>. It is prescribed 90% of the time in patients who only<\/em> have hypertension, he says.<\/p>\n

But for patients who have comorbidities\u2014like heart failure or diabetes\u2014doctors turn to lisinopril or losartan. Both drugs work against a specific protein in your liver called angiotensin II, which is a blood vessel constrictor (i.e., it raises your blood pressure). Losartan is used less frequently than its counterparts, but can provide relief if lisinopril causes side effects\u2014namely a dry, nagging cough that happens in a significant number of patients.<\/p>\n

Out of the 13 states where hypertension drugs rank no. 1 among SingleCare users, amlodipine and lisinopril take the top spot in all but one (the Virgin Islands). Worth nothing is how many of those 12 states are in the midwest and southern regions of the U.S., where obesity rates have reached epidemic levels.<\/p>\n

According to The State of Obesity<\/a> by the Robert Wood Johnson Foundation, Mississippi, Oklahoma, Iowa, Louisiana, and Arkansas have some of the highest rates of obesity in the country, exceeding 35 percent of the population.<\/p>\n

\u201cIn areas where there\u2019s a higher BMI, it\u2019s reasonable to assume a correlation with hypertension medication,\u201d Dr. Pandit says. \u201cWe do know that weight gain is associated with higher blood pressure.\u201d<\/p>\n

Get your SingleCare coupons for <\/em>amlodipine<\/em><\/a>, <\/em>lisinopril<\/em><\/a>, and <\/em>losartan<\/em><\/a>.<\/em><\/p>\n

\"The<\/a><\/p>\n

Amoxicillin capsules in 500mg and azithromycin tablets in 250mg<\/h2>\n

(California, Colorado, Idaho, Nevada, Texas, Vermont, and Montana)<\/strong><\/p>\n

Most doctors emphasize the importance of only prescribing antibiotics when a patient has a bacterial infection, not the more common viral kind. That said, bacterial infections do<\/em> happen (especially respiratory ones during cold and flu season!), and amoxicillin and azithromycin are generally accepted for use to combat them.<\/p>\n

\u201cAmoxicillin is typically used for things like sinusitis, strep throat, and ear infections,\u201d Dr. Septimus says.<\/p>\n

If you\u2019re allergic to penicillin or have a more severe bacterial infection, especially one affecting your lungs like community-acquired pneumonia or a COPD-related infection, your doctor might prescribe azithromycin instead. Balsamini says one of the major benefits of the antibiotic commonly referred to as a \u201cZ-Pak\u201d is its once-daily dosing for 3 to 5 days of therapy, which is less than most other antibiotics.<\/p>\n

Get your SingleCare coupon for <\/em>amoxicillin<\/em><\/a> and <\/em>azithromycin<\/em><\/a> here.<\/em><\/p>\n

\"The<\/a><\/p>\n

Prednisone tablets in 20mg<\/h2>\n

(Maine and Wyoming)<\/strong><\/p>\n

If you\u2019ve ever been prescribed a round of steroids, it was probably prednisone\u2014it\u2019s a common corticosteroid<\/a> used for a wide variety of conditions, from something as simple as a poison ivy rash all the way to complex autoimmune conditions such as arthritis and lupus.<\/p>\n

Despite being an anti-inflammatory jack-of-all-trades, prednisone comes with a host of side effects. Dr. Septimus says it can cause everything from fluid retention and increased appetite to insomnia, weight gain, and osteoporosis. He also emphasizes that the severity of the side effects depends on the duration of the exposure to the drug.<\/p>\n

Use of prednisone ranks high for SingleCare users in Maine and Wyoming, which are nearly on opposite sides of the country. What do those states have in common? Dr. Septimus can\u2019t say for sure, but suggests one possible connection: \u201cThe only reason I can think of that prescription rates would be different in different states is prescribing patterns for respiratory tract infections,\u201d he says. \u201cPrevailing practice habits [among some physicians] might include use of these agents to blunt symptoms of a host of things, including bronchitis, hay fever, and sinusitis.\u201d<\/p>\n

Get your SingleCare coupon for <\/em>prednisone here<\/em><\/a>.<\/em><\/p>\n

State-by-state breakdown<\/h2>\n

Alaska: <\/strong>Proair HFA aerosol
\nAlabama: <\/strong>Vitamin D capsules 50,0000IU
\nArkansas: <\/strong>Amlodipine tablets 10mg
\nArizona: <\/strong>Amoxicillin capsules 500mg
\nCalifornia: <\/strong>Amoxicillin capsules 500mg
\nColorado: <\/strong>Amoxicillin capsules 500mg
\nConnecticut: <\/strong>Vitamin D capsules 50,000IU
\nWashington D.C.: <\/strong>Vitamin D capsules 50,000IU
\nDelaware: <\/strong>Amlodipine tablets 10mg
\nFlorida: <\/strong>Vitamin D capsules 50,000IU
\nGeorgia: <\/strong>Vitamin D capsules 50,000IU
\nHawaii: <\/strong>Sildenafil tablets 100mg
\nIowa: <\/strong>Amlodipine tablets 10mg
\nIdaho: <\/strong>Amoxicillin capsules 500mg
\nIllinois:<\/strong> Vitamin D capsules 50,000IU
\nIndiana: <\/strong>Amlodipine tablets 5mg
\nKansas: <\/strong>Lisinopril tablets 20mg
\nKentucky: <\/strong>Vitamin D capsules 50,000IU
\nLouisiana: <\/strong>Amlodipine tablets 10mg
\nMassachusetts:<\/strong> Sildenafil tablets 100mg
\nMaryland: <\/strong>Vitamin D capsules 50,000IU
\nMaine: <\/strong>Prednisone tab 20mg
\nMichigan: <\/strong>Vitamin D capsules 50,000IU
\nMinnesota: <\/strong>Sildenafil tablets 100mg
\nMissouri:<\/strong> Lisinopril tablets 20mg
\nMississippi: <\/strong>Amlodipine tablets 10mg
\nMontana: <\/strong>Azithromycin tablets 250mg
\nNorth Carolina: <\/strong>Vitamin D capsules 50,000IU
\nNorth Dakota: <\/strong>Freestyle kit sensor
\nNebraska: <\/strong>Amlodipine tablets 5mg
\nNew Hampshire: <\/strong>Amphetamine\/dextroamphetamine tablets 20mg
\nNew Jersey:<\/strong> Vitamin D capsules 50,000IU
\nNew Mexico:<\/strong> Lisinopril tablets 20mg
\nNevada:<\/strong> Amoxicillin capsules 500mg
\nNew York: <\/strong>Vitamin D capsules 50,000IU
\nOhio: <\/strong>Vitamin D capsules 50,000IU
\nOklahoma: <\/strong>Lisinopril tablets 20mg
\nOregon: <\/strong>Ventolin HFA aerosol
\nPennsylvania:<\/strong> Vitamin D capsules 50,000IU
\nPuerto Rico: <\/strong>Vitamin D3 capsules 50,000IU
\nRhode Island: <\/strong>Vitamin D capsules 50,000IU
\nSouth Carolina: <\/strong>Vitamin D capsules 50,000IU
\nSouth Dakota: <\/strong>Amlodipine tablets 10mg
\nTennessee:<\/strong> Vitamin D capsules 50,000IU
\nTexas: <\/strong>Amoxicillin capsules 500mg
\nUtah: <\/strong>Amphetamine\/dextroamphetamine tablets 20mg
\nVirginia: <\/strong>Vitamin D capsules 50,000IU
\nVirgin Islands: <\/strong>Losartan tablets 50mg
\nVermont: <\/strong>Amoxicillin capsules 500mg
\nWashington: <\/strong>Ventolin HFA aerosol
\nWisconsin: <\/strong>Amphetamine\/dextroamphetamine tablets 20mg
\nWest Virginia: <\/strong>Vitamin D capsules 50,000IU
\nWyoming: <\/strong>Prednisone tablets 20mg<\/p>\n

Popular prescription drug information reflects the scripts most filled through SingleCare from Jan. 1, 2018 to Jun. 24, 2019, excluding opioids and weight-loss drugs.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

Made a trip to your local pharmacy lately? You\u2019re not alone. It\u2019s estimated that nearly 4.25 billion prescriptions will be filled in just 2019. And that comes at a big cost. The average American pays $1,200 a year on prescription drugs. SingleCare aims to help people save on their medications with our pharmacy discount card. […]<\/p>\n","protected":false},"author":84,"featured_media":9352,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2,4589],"tags":[7,16413],"coauthors":[8860],"class_list":["post-5082","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-company","category-drug-info","tag-singlecare","tag-singlecare-stats","wpautop"],"acf":[],"yoast_head":"\nThe most popular prescription drug in every state by SingleCare<\/title>\n<meta name=\"description\" content=\"SingleCare helps Americans save thousands every day. 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