Those who enrolled in health coverage through the publicexchanges aren't as healthy as some would like.

Analysis from Express Scripts shows that, based on theirmedication usage, PPACA enrollees are sicker than patients off theexchanges, often requiring specialty drug prescriptions.

The pharmacy benefit manager said that six of the top 10costliest medications used by exchange enrollees have beenspecialty drugs—such as those used to treat HIV/AIDs, autoimmunedisorders and cancer. In commercial health plans, four of the top10 costliest medications were specialty.

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