(Bloomberg) -- Potential shortfalls in enrollment for President Barack Obama’s health care overhaul would put a 30% dent in projections for U.S. prescription-drug sales in 2017, a report from IMS Health Inc. shows.

That worst-case scenario would translate to $320 billion in drug spending, according to the report. The best case is supposed to be $460 billion, boosted by demand from the health law’s expansion of insurance coverage and medical screenings, and removal of restrictions on pre-existing conditions.

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