Medicare prescription drug cost, prescriptions and prescribers, 2024
Medicare cost, 2024
$632.3M
+0.9% from 2023
Prescriptions
81K
$7,827.79 per claim
Patients
11K
7,008 prescribers
Total spending, 2024
$632.8M
$60,025.75 per patient
Medicare prescription drug plans paid $632.3M for Enbrel in 2024, for 80,775 prescriptions and refills to 10,535 patients (up 0.9% from 2023). The average cost per claim was $7,827.79.
California had the highest Medicare cost for Enbrel in 2024: $66.8M for 10,024 claims, followed by New York ($46.6M).
Michael Babilonia Roman, internal medicine in Mayaguez, PR, had the highest Medicare cost for Enbrel in 2024: 340 claims costing $2.5M.
Enbrel is made by Amgen Inc. (AMGN), listed in the Medicare spending data as Amgen.
All plans and makers
Where the prescribers practice, 2024
By Medicare drug cost
| Prescriber | Type | Claims | Patients | Cost |
|---|---|---|---|---|
| Michael Babilonia Roman Mayaguez, PR | Internal Medicine | 340 | 30 | $2.5M |
| Elvin R Garcia McAllen, TX | Rheumatology | 195 | 23 | $1.6M |
| Jolanta Sobotka-Czarnecki |
| Year | Prescribers | Claims | Patients | Cost |
|---|---|---|---|---|
| 2022 | 7,214 | 85,248 | 11,304 | $611.6M |
| 2023 | 7,033 | 81,917 | 10,670 | $626.9M |
| 2024 | 7,008 | 80,775 | 10,535 | $632.3M |
Amount reimbursed by state Medicaid programs, all states
More drugs: top Medicare drugs by cost and the Prescriptions tab.
Official US government data on Medicare prescription drug plans (Part D) and Medicaid drug use. Cost and spending are before the rebates drug makers pay. Prescribers with fewer than 11 claims of the drug are not published.
| Rheumatology |
| 199 |
| 21 |
| $1.5M |
| Richard B Gremillion Millcreek, UT | Rheumatology | 171 | 18 | $1.4M |
| Kenneth B Wiesner Sacramento, CA | Rheumatology | 149 | 18 | $1.2M |
| John Vischio Glastonbury, CT | Internal Medicine | 116 | 13 | $1.0M |
| James E Dowd Brighton, MI | Rheumatology | 121 | 14 | $992K |
| William W Mullins North Bethesda, MD | Rheumatology | 64 | 11 | $976K |
| Roberto D Alvarez Aibonito, PR | Rheumatology | 126 | 21 | $937K |
| Grace A Makhlouf Sugar Land, TX | Rheumatology | 110 | 13 | $893K |
| Steven A Portney Bingham Farms, MI | Rheumatology | 117 | 12 | $853K |
| Don L Stromquist Murray, UT | Rheumatology | 94 | 12 | $824K |
| James E Gore Nashville, TN | Rheumatology | 113 | 12 | $815K |
| Victoria Katz Brooklyn, NY | Rheumatology | 110 | 28 | $783K |
| David A Campbell Fort Wayne, IN | Rheumatology | 96 | Under 11 | $780K |
| Linda M Atkinson Baldwin Park, CA | Internal Medicine | 157 | 21 | $765K |
| Juan M Rodriguez Bayamon, PR | Rheumatology | 93 | 12 | $688K |
| Khalid M Syed Lynn, MA | Rheumatology | 80 | 12 | $687K |
| 1790785160 | Rheumatology | 89 | Under 11 | $673K |
| Sohrab Fallahi Montgomery, AL | Rheumatology | 87 | 13 | $670K |
| Leroy A Pacheco Albuquerque, NM | Rheumatology | 72 | Under 11 | $668K |
| Monika Mohan Okemos, MI | Rheumatology | 90 | 15 | $657K |
| Robert W Shurmur Battle Creek, MI | Rheumatology | 79 | Under 11 | $646K |
| Brian J Keroack Portland, ME | Rheumatology | 82 | 11 | $645K |
| Gwendolyn Kane-Wanger Waban, MA | Internal Medicine | 76 | Under 11 | $629K |
Spending by manufacturer as listed in the spending data
| Manufacturer | Claims | Spending |
|---|---|---|
| Amgen AMGN | 80,845 | $632.8M |