Those who enrolled in health coverage through the exchanges aren't as healthy as some would like, according to new data.

Analysis from Express Scripts shows that, based on their medication usage, PPACA enrollees are sicker than patients off the exchanges, often requiring specialty drug prescriptions.

The pharmacy benefit manager said that six of the top 10 costliest medications used by exchange enrollees have been specialty drugs — such as those used to treat HIV/AIDS, autoimmune disorders and cancer. In commercial health plans, four of the top 10 costliest medications were specialty.

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