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The CMS (2019) published a National Health Expenditures Report 2018–2027. Prescription drug spending was projected to have grown by 3.3% in 2018. This is due to an increase in new drug introductions. Prescription drug spending growth was projected to increase to 4.6% in 2019, because of faster utilization growth from both existing and new drugs, as well as a modest increase in drug price growth. For the reminder of the projection, 2020–2027, prescription drug spending is projected to grow by 6.1% per year on average, or by 1.5 percentage points more rapidly than in 2019, influenced by new drugs and efforts to encourage patients with chronic conditions to consistently treat their disease (CMS, 2019).