Medicare prescription drug cost, prescriptions and prescribers, 2024
Medicare cost, 2024
$28.7M
+14.5% from 2023
Prescriptions
1,101
$26,092.63 per claim
Patients
105
104 prescribers
Total spending, 2024
$28.7M
$273,599.89 per patient
Medicare prescription drug plans paid $28.7M for Kalydeco in 2024, for 1,101 prescriptions and refills to 105 patients (up 14.5% from 2023). The average cost per claim was $26,092.63.
Massachusetts had the highest Medicare cost for Kalydeco in 2024: $2.3M for 82 claims, followed by Wisconsin ($2.1M).
Tayler R Stander, physician assistant in Boston, MA, had the highest Medicare cost for Kalydeco in 2024: 34 claims costing $937K.
Kalydeco is made by Vertex Pharmaceuticals Incorporated (VRTX), listed in the Medicare spending data as Vertex Pharmace.
All plans and makers
Where the prescribers practice, 2024
By Medicare drug cost
| Prescriber | Type | Claims | Patients | Cost |
|---|---|---|---|---|
| Tayler R Stander Boston, MA | Physician Assistant | 34 | Under 11 | $937K |
| Joseph Pilewski Pittsburgh, PA | Pulmonary Disease | 35 | Under 11 | $898K |
| James J Tolle |
| Year | Prescribers | Claims | Patients | Cost |
|---|---|---|---|---|
| 2022 | 112 | 959 | 106 | $25.5M |
| 2023 | 99 | 936 | 91 | $25.1M |
| 2024 | 104 | 1,101 | 105 | $28.7M |
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.
| Allergy/ Immunology |
| 32 |
| Under 11 |
| $805K |
| Jerry A Nick Denver, CO | Pulmonary Disease | 28 | Under 11 | $790K |
| James D Finklea Jr. Dallas, TX | Critical Care (Intensivists) | 27 | Under 11 | $763K |
| Paul M Pritchard Green Bay, WI | Internal Medicine | 26 | Under 11 | $754K |
| Lynn Preudhomme Phoenix, AZ | Nurse Practitioner | 26 | Under 11 | $741K |
| Kimberly A McBennett Cleveland, OH | Pediatric Medicine | 24 | Under 11 | $639K |
| William R Hunt Atlanta, GA | Pulmonary Disease | 23 | Under 11 | $594K |
| Brian P Wayson Iowa City, IA | Nurse Practitioner | 25 | Under 11 | $593K |
| Daniel B Rosenbluth Saint Louis, MO | Pulmonary Disease | 24 | Under 11 | $571K |
| Amy McLaughlin New York, NY | Nurse Practitioner | 21 | Under 11 | $566K |
| Julie A Biller Milwaukee, WI | Pulmonary Disease | 24 | Under 11 | $565K |
| Jill D Fliege Omaha, NE | Nurse Practitioner | 26 | Under 11 | $541K |
| Brooke S Lachance Madison, WI | Nurse Practitioner | 20 | Under 11 | $539K |
| Michaela M Murphy Syracuse, NY | Nurse Practitioner | 17 | Under 11 | $487K |
| Tara L Barto Houston, TX | Pulmonary Disease | 15 | Under 11 | $463K |
| Holly J Carveth Salt Lake City, UT | Pulmonary Disease | 17 | Under 11 | $454K |
| Sean Forsythe Maywood, IL | Pulmonary Disease | 21 | Under 11 | $442K |
| Christopher E Forsmark Gainesville, FL | Gastroenterology | 16 | Under 11 | $423K |
| Colette Bucur Cleveland, OH | Nurse Practitioner | 16 | Under 11 | $419K |
| Sarah Kubiak Boston, MA | Pharmacist | 17 | Under 11 | $401K |
| Noah Lechtzin Baltimore, MD | Pulmonary Disease | 12 | Under 11 | $397K |
| Isabel P Neuringer Boston, MA | Critical Care (Intensivists) | 13 | Under 11 | $392K |
| Jonathan Koff New Haven, CT | Pulmonary Disease | 14 | Under 11 | $377K |
Spending by manufacturer as listed in the spending data
| Manufacturer | Claims | Spending |
|---|---|---|
| Vertex Pharmace VRTX | 1,101 | $28.7M |