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Table 1 Composition of total pharmaceutical expenditure by region in 2022. Data source: Osmed report “the use of drugs in Italy. National report 2022”. AIFA. https://www.aifa.gov.it/documents/20142/1967301/Rapporto-OsMed-2022.pdf

From: Out-of-pocket pharmaceutical expenditure and potential misuse of public resources - analysis in the Italian context

Region

Gross agreed expenditure§ 1

Private class A

Class C with prescription

Self-medication

Commercial establishments

Public facilities

Total

 

€*

%*

€*

%*

€*

%*

€*

%*

€*

%*

€*

%*

€*

Piedmont

624

25.7

186

7.6

281

11.6

209

8.6

25

1.0

1.107

45.5

2.432

Aosta Valley

17

25.5

10

15.0

7

10.5

7

10.5

1

1.5

25

36.9

67

Lombardy

1.854

33.8

270

4.9

633

11.5

480

8.7

59

1.1

2.196

40.0

5.492

Autonomous Province of Bolzano

57

23.5

12

5.0

23

9.5

28

11.6

0

-

122

50.5

242

Autonomous Province of Trento

76

28.6

17

6.4

26

9.8

29

10.9

2

0.8

116

43.6

266

Veneto

651

25.5

131

5.1

275

10.8

239

9.4

22

0.9

1.237

48.2

2.555

Friuli VG

184

27.7

28

4.2

65

9.8

57

8.6

5

0.8

324

48.9

663

Liguria

241

24.8

61

6.3

123

12.6

92

9.5

10

1.0

446

45.8

973

Emilia R.

588

23.8

95

3.8

263

10.7

215

8.7

35

1.4

1.273

51.6

2.469

Tuscany

530

26.0

90

4.4

235

11.5

187

9.2

28

1.4

970

47.5

2.040

Umbria

141

27.1

27

5.2

57

11.0

36

6.9

5

1.0

253

48.8

519

Marche

246

27.0

47

5.2

95

10.4

67

7.4

7

0.8

448

49.2

910

Lazio

1.034

30.8

261

7.8

358

10.7

273

8.1

20

0.6

1.410

42.0

3.356

Abruzzo

241

28.8

91

10.9

71

8.5

53

6.3

7

0.8

374

44.7

837

Molise

51

32.3

4

2.5

14

8.9

10

6.3

1

0.6

78

49.4

158

Campania

1.044

30.7

171

5.0

358

10.5

256

7.5

40

1.2

1.530

45.0

3.399

Apulia

726

32.1

80

3.5

207

9.1

147

6.5

19

0.8

1.084

47.9

2.263

Basilicata

105

34.5

5

1.6

23

7.5

18

5.9

3

1.0

151

49.5

305

Calabria

352

32.5

50

4.6

98

9.0

62

5.7

10

0.9

511

47.2

1.083

Sicily

838

33.9

156

6.3

220

8.9

137

5.5

13

0.5

1.105

44.7

2.469

Sardinia

282

27.9

116

11.5

90

8.9

60

5.9

14

1.4

447

44.3

1.009

Italy

9.880

29.5

1.908

5.7

3.523

10.5

2.661

7.9

326

1.0

15.208

45.4

33.506

North

4.291

28.3

810

5.3

1.696

11.2

1.355

8.9

159

1.0

6.846

45.2

15.157

Central

1.951

28.6

425

6.2

745

10.9

564

8.3

60

0.9

3.081

45.1

6.826

South

3.639

31.6

673

5.8

1.082

9.4

742

6.4

108

0.9

5.281

45.8

11.525

  1. § The expense refers to class A-SSN drugs and class C drugs (19 million euros) reimbursed by the NHS
  2. * million euros
  3. * calculated on the total regional expenditure