Table 4:

Ten most costly and 10 most commonly reimbursed medications, by cost category of beneficiaries

RankBeneficiaries with very high drug-costsHigh–drug-cost beneficiariesOther beneficiaries
Drug nameNo. of usersDrug nameNo. of usersDrug nameNo. of users
Total spending
1Infliximab*331 002 170Ranibizumab*149 319 608Salmeterol/ fluticasone110 037 629
2Sofosbuvir/ledipasvir270 669 622Aflibercept122 412 063Atorvastatin108 457 147
3Adalimumab*145 652 072Adalimumab*82 784 426Perindopril91 622 949
4Lenalidomide118 550 630Paliperidone62 288 410Rosuvastatin86 933 263
5Etanercept*86 154 466Etanercept50 613 266Metformin/ sitagliptin83 201 111
6Sofosbuvir74 950 373Insulin glargine38 740 800Sitagliptin76 710 532
7Ranibizumab*65 440 527Infliximab*37 537 419Methadone76 477 878
8Aflibercept52 468 572Hydromorphone36 425 150Rivaroxaban75 651 662
9Eculizumab*37 516 433Aripiprazole34 064 003Insulin glargine74 519 810
10Dasabuvir/ombitasvir/ paritaprevir/ritonavir36 048 600Methadone28 115 644Pantoprazole72 636 566
Total use
1Pantoprazole10 090Pantoprazole56 988Rosuvastatin894 699
2Infliximab*9645Salbutamol55 470Atorvastatin785 322
3Salbutamol9104Rosuvastatin44,517Pantoprazole733 233
4Codeine/ acetaminophen7524Atorvastatin43 747Amoxicillin723 256
5Prednisone7308Metformin43 583Levothyroxine705 881
6Amoxicillin7274Furosemide41 962Salbutamol646 392
7Rosuvastatin7072Amlodipine36 877Amlodipine632 970
8Adalimumab*6549Levothyroxine36 700Metformin599 120
9Methotrexate6277Amoxicillin34 237Codeine/ acetaminophen531 586
10Levothyroxine6228Codeine/ acetaminophen34 045Ramipril473 130
  • * Denotes a biologic (not including insulin or low-molecular-weight heparin).

  • Denotes an antiviral.