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Variable Not Concurrently ESRD Concurrently ESRD 95 Years or Over 0.658 2.555 Male 0-34 Years 3.586 2.358 35-44 Years 3.108 2.358 45-54 Years 2.872 2.358 55-59 Years 2.744 2.358 60-64 Years 2.379 2.358 65 Years 2.379 2.358 66 Years 1.952 2.358 67 Years 1.952 2.358 68 Years 1.740 2.358 69 Years 1.740 2.358 70-74 Years 1.740 2.358 75-79 Years 1.341 2.358 80-84 Years 1.341 2.358 85-89 Years 1.019 2.358 90-94 Years 0.712 2.358 95 Years or Over 0.712 2.358 NOTES: 1. The Part D Denominator value used to calculate relative factors is $2,108.33. This Part D Denominator is based on the combined PDP and MA-PD populations. 2. For new enrollees, the concurrent ESRD marker is defined as at least one month in the payment year of ESRD status—dialysis, transplant, or functioning graft. SOURCE: RTI Analysis of 100% 2018-2019 Medicare Enrollment Data, 2019 Prescription Drug Event (PDE) Data, 2018 Professional Claims (Carrier), 2018 Inpatient Claims, 2018 Outpatient Claims, and 2018 Medicare Advantage Encounter Data.

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Variable Not Concurrently ESRD Concurrently ESRD 95 Years or Over 0.658 2.555 Male 0-34 Years 3.586 2.358 35-44 Years 3.108 2.358 45-54 Years 2.872 2.358 55-59 Years 2.744 2.358 60-64 Years 2.379 2.358 65 Years 2.379 2.358 66 Years 1.952 2.358 67 Years 1.952 2.358 68 Years 1.740 2.358 69 Years 1.740 2.358 70-74 Years 1.740 2.358 75-79 Years 1.341 2.358 80-84 Years 1.341 2.358 85-89 Years 1.019 2.358 90-94 Years 0.712 2.358 95 Years or Over 0.712 2.358 NOTES: 1. The Part D Denominator value used to calculate relative factors is $2,108.33. This Part D Denominator is based on the combined PDP and MA-PD populations. 2. For new enrollees, the concurrent ESRD marker is defined as at least one month in the payment year of ESRD status—dialysis, transplant, or functioning graft. SOURCE: RTI Analysis of 100% 2018-2019 Medicare Enrollment Data, 2019 Prescription Drug Event (PDE) Data, 2018 Professional Claims (Carrier), 2018 Inpatient Claims, 2018 Outpatient Claims, and 2018 Medicare Advantage Encounter Data.