Medicare prescription drug cost, prescriptions and prescribers, 2024
Medicare cost, 2024
$41.4M
-12.9% from 2023
Prescriptions
22K
$1,922.36 per claim
Patients
3,051
3,326 prescribers
Total spending, 2024
$41.4M
$13,558.59 per patient
Medicare prescription drug plans paid $41.4M for Topamax in 2024, for 21,523 prescriptions and refills to 3,051 patients (down 12.9% from 2023). The average cost per claim was $1,922.36.
New York had the highest Medicare cost for Topamax in 2024: $3.9M for 2,176 claims, followed by Pennsylvania ($2.8M).
Ignacio L Pita Garcia, neurology in Guaynabo, PR, had the highest Medicare cost for Topamax in 2024: 182 claims costing $277K.
Topamax is made by Johnson & Johnson (JNJ), listed in the Medicare spending data as Janssen Pharm..
All plans and makers
Where the prescribers practice, 2024
By Medicare drug cost
| Prescriber | Type | Claims | Patients | Cost |
|---|---|---|---|---|
| Ignacio L Pita Garcia Guaynabo, PR | Neurology | 182 | 17 | $277K |
| Kimberly A Konieczki Erie, PA | Nurse Practitioner | 65 | Under 11 | $203K |
| Lucretia Long |
| Year | Prescribers | Claims | Patients | Cost |
|---|---|---|---|---|
| 2022 | 3,838 | 25,776 | 3,522 | $49.6M |
| 2023 | 3,547 | 23,748 | 3,262 | $47.5M |
| 2024 | 3,326 | 21,523 | 3,051 | $41.4M |
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.
| Nurse Practitioner |
| 60 |
| Under 11 |
| $145K |
| James P Valeriano Pittsburgh, PA | Neurology | 85 | Under 11 | $145K |
| Manoj Raghavan Milwaukee, WI | Neurology | 64 | Under 11 | $136K |
| Deborah S Zielinski Chicago, IL | Nurse Practitioner | 54 | Under 11 | $124K |
| Amit Verma Houston, TX | Sleep Medicine | 26 | Under 11 | $123K |
| Evan K Sandok La Crosse, WI | Neurology | 31 | Under 11 | $120K |
| Lynette N Todd Atlanta, GA | Nurse Practitioner | 33 | Under 11 | $110K |
| Blanca Vazquez New York, NY | Neurology | 36 | Under 11 | $108K |
| David N Franz Cincinnati, OH | Pediatric Medicine | 30 | Under 11 | $106K |
| Michael D Privitera Cincinnati, OH | Neurology | 88 | Under 11 | $100K |
| Pamela A Droberg Saint Paul, MN | Nurse Practitioner | 37 | Under 11 | $95K |
| Jay H Harvey Dallas, TX | Neurology | 23 | Under 11 | $94K |
| Felicia Chu Worcester, MA | Neurology | 43 | Under 11 | $94K |
| Cormac Odonovan Winston Salem, NC | Neurology | 31 | Under 11 | $90K |
| David M Labiner Tucson, AZ | Neurology | 23 | Under 11 | $89K |
| Kristine E Michael Coon Rapids, MN | Physician Assistant | 16 | Under 11 | $85K |
| Shahram Izadyar Syracuse, NY | Neurology | 63 | Under 11 | $81K |
| Elizabeth A Thiele Boston, MA | Neurology | 13 | Under 11 | $81K |
| Kristina N Karanec Grand Rapids, MI | Neurology | 41 | Under 11 | $80K |
| Richard V Andrews Omaha, NE | Neurology | 38 | Under 11 | $79K |
| Timothy W Powell Spokane, WA | Neurology | 67 | Under 11 | $79K |
| Mark D Bej Sheffield Village, OH | Neurology | 25 | Under 11 | $78K |
| Edward S Haight Gray, LA | Neurology | 27 | Under 11 | $78K |
Spending by manufacturer as listed in the spending data
| Manufacturer | Claims | Spending |
|---|---|---|
| Janssen Pharm. JNJ | 21,528 | $41.4M |