TY - JOUR AU - A. W. Roberts AU - B. Saloner AU - S. B. Dusetzina A1 - AB - OBJECTIVE: This study examined buprenorphine prescription uptake and expenditure trends among privately insured adults from 2003 to 2015 to inform efforts to expand opioid use disorder treatment. METHODS: A study with a repeated cross-sectional design using MarketScan prescription claims data was conducted to describe trends in total and new buprenorphine use and median total, plan, and out-of-pocket expenditures for a 30-day buprenorphine prescription among privately insured adults from 2003 to 2015. RESULTS: New and total buprenorphine users increased dramatically from 2003 to 2013 and plateaued. Total buprenorphine spending was stable from 2003 to 2008, increased from 2009 to 2013, and declined from 2013 to 2015. Out-of-pocket expenditures steadily decreased from $67 in 2003 to $32 in 2015 for a 30-day prescription. CONCLUSIONS: Buprenorphine treatment costs were stable for health plans and declined for privately insured adults since 2003. Identifying remaining barriers to addressing the opioid addiction treatment gap is a priority. BT - Psychiatric Services C5 - Opioids & Substance Use CP - 7 DO - 10.1176/appi.ps.201700315 IS - 7 JF - Psychiatric Services N2 - OBJECTIVE: This study examined buprenorphine prescription uptake and expenditure trends among privately insured adults from 2003 to 2015 to inform efforts to expand opioid use disorder treatment. METHODS: A study with a repeated cross-sectional design using MarketScan prescription claims data was conducted to describe trends in total and new buprenorphine use and median total, plan, and out-of-pocket expenditures for a 30-day buprenorphine prescription among privately insured adults from 2003 to 2015. RESULTS: New and total buprenorphine users increased dramatically from 2003 to 2013 and plateaued. Total buprenorphine spending was stable from 2003 to 2008, increased from 2009 to 2013, and declined from 2013 to 2015. Out-of-pocket expenditures steadily decreased from $67 in 2003 to $32 in 2015 for a 30-day prescription. CONCLUSIONS: Buprenorphine treatment costs were stable for health plans and declined for privately insured adults since 2003. Identifying remaining barriers to addressing the opioid addiction treatment gap is a priority. PY - 2018 SP - 832 EP - 835 EP - T1 - Buprenorphine Use and Spending for Opioid Use Disorder Treatment: Trends From 2003 to 2015 T2 - Psychiatric Services TI - Buprenorphine Use and Spending for Opioid Use Disorder Treatment: Trends From 2003 to 2015 U1 - Opioids & Substance Use U2 - 29734918 U3 - 10.1176/appi.ps.201700315 VL - 69 Y1 - 2018 ER -