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CMS Unveils Enhanced “Drug Dashboards” to Increase Transparency on Drug Prices

Date
2018-05-15
Title
CMS Unveils Enhanced “Drug Dashboards” to Increase Transparency on Drug Prices
Contact
press@cms.hhs.gov

CMS Unveils Enhanced “Drug Dashboards” to Increase Transparency on Drug Prices
An important part of the American Patients First initiative, the Dashboards provide new information on changes in spending per drug over time

Today, the Centers for Medicare & Medicaid Services (CMS) released a redesigned version of the Drug Spending Dashboards. For the first time, the dashboards include year-over-year information on drug pricing and highlight which manufactures have been increasing their prices.

“Under President Trump’s bold leadership, CMS is committed to putting patients first and increasing transparency,” said CMS Administrator Seema Verma. “Publishing how much individual drugs cost from one year to the next will provide much-needed clarity and will empower patients and doctors with the information they need. As Secretary Azar has repeatedly pointed out, for years Medicare incentives have actually encouraged higher list prices for drugs, and this updated and enhanced dashboard is an important step to bringing transparency and accountability to what has been a largely hidden process.”

The dashboards are interactive online tools that allow patients, clinicians, researchers, and the public to understand trends in drug spending. Data is reported for both Medicare and Medicaid. The new version of the dashboard reports the percentage change in spending on drugs per dosage unit and includes an expanded list of drugs.

Some of the most commonly used drugs across Medicare Part B, Medicare Part D, and Medicaid saw double-digit annual increases over the last few years. A few examples are highlighted in the tables below. Taking the 15 drugs with the highest total spending in each program, the drugs listed in the tables saw significant annual increases in spending per dosage unit from 2012 to 2016. Drugs were included if they experienced annual increases of at least 5 percent in Part B and at least 10 percent in Part D and Medicaid.

In 2012, Medicare spent 17 percent of its total budget, or $109 billion, on prescription drugs. Four years later in 2016, spending had increased to 23 percent, or $174 billion. In 2016, the drugs listed below accounted for $39 billion in total spending by Medicare and Medicaid.

Medicare Part B

 

Brand Name

Generic Name

Annual Growth Rate (2012-2016)

Average Monthly Spending Per Beneficiary in 2016

Manufacturers

1

Orencia*

Abatacept*

17.2%
($22 to $41)

$2,136

BMS Primarycare

2

Neulasta

Pegfilgrastim

8.5%
($2,788 to $3,869)

$1,195

Amgen

3

Xolair

Omalizumab

8.0%
($22 to $30)

$1,821

Genentech, Inc.

4

Vaccine Influenza Injection Muscle (Fluzone High-Dose)**

 

6.9%
($30 to $39)

N/A

 

5

Sandostatin Lar*

Octreotide Acetate, mi-Spheres*

6.8%
($123 to $160)

$3,202

Novartis

6

Prevnar 13

Pneumococcal 13-Valent Vaccine

6.1%
($132 to $167)

N/A

Wyeth Pharm

7

Remicade

Infliximab

6.0%
($63 to $80)

$1,910

Janssen Biotech

8

Rituxan

Rituximab

5.6%
($615 to $765)

$1,985

Genentech, Inc.

*Indicates multiple brand and/or generic names for a specific HCPCS code.
**Indicates brand/generic names unavailable. Name reflects the HCPCS short description.

Medicare Part D

 

Brand Name

Generic Name

Annual Growth Rate (2012-2016)

Average Monthly Spending Per Beneficiary in 2016

Manufacturers

1

Renvela

Sevelamer Carbonate

21.6%
($3 to $6)

$630

Genzyme

2

Lantus

Insulin Glargine, Hum.Rec.Anlog

18.6%
($13 to $25)

$209

Sanofi-Aventis

3

Zetia

Ezetimibe

18.3%
($5 to $9)

$181

Merck Sharp & D

4

Enbrel

Etanercept

18.2%
($498 to $972)

$2,741

Amgen

5

Humira Pen

Adalimumab

18.0%
($1,019 to $1,976)

$2,835

Abbvie US LLC

6

Lyrica

Pregabalin

17.4%
($3 to $6)

$205

Pfizer US Pharm

7

Lantus Solostar

Insulin Glargine, Hum.Rec.Anlog

14.2%
($14 to $25)

$196

Sanofi-Aventis

8

Crestor

Rosuvastatin Calcium

13.2%
($5 to $8)

$124

Astrazeneca

9

Januvia

Sitagliptin Phosphate

12.7%
($7 to $12)

$235

Merck Sharp & D

10

Xarelto

Rivaroxaban

10.6%
($8 to $12)

$202

Janssen Pharm.

11

Eliquis

Apixaban

10.4%
($4 to $6)

$194

BMS Primarycare

 

Medicaid

 

Brand Name

Generic Name

Annual Growth Rate (2012-2016)

Manufacturers

1

Lantus

Insulin Glargine, Hum.Rec.Anlog

18.7%
($13 to $25)

Sanofi-Aventis

2

Latuda

Lurasidone HCl

18.6%
($17 to $33)

Sunovion Pharma

3

Lyrica

Pregabalin

17.9%
($3 to $6)

Pfizer US Pharm

4

Enbrel

Etanercept

17.6%
($487 to $933)

Amgen

5

Humira Pen

Adalimumab

17.5%
($1,007 to $1,919)

Abbvie US LLC

6

Lantus Solostar

Insulin Glargine, Hum.Rec.Anlog

14.3%
($15 to $25)

Sanofi-Aventis

7

Abilify

Aripiprazole

11.4%
($21 to $32)

Otsuka America

8

Vyvanse

Lisdexamfetamine Dimesylate

11.0%
($5 to $8)

Shire US Inc.

Also, as part of CMS’s commitment to transparency and data release, CMS today is updating the Part D Prescriber Public Use File (PUF) with data for 2016. This file includes summarized information on the more than one million distinct health care providers who prescribed drugs under the Part D program in 2016. This information enables a range of analyses to be performed on prescribing trends in Part D. The Part D Prescriber PUF is available at: https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Medicare-Provider-Charge-Data/Part-D-Prescriber.html.

In all of CMS’s efforts, CMS protects the privacy and security of healthcare data. None of today’s releases include any patient-identifiable data. The dashboards and a downloadable, machine-readable version of the data presented in the dashboards can be accessed at: https://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/Information-on-Prescription-Drugs/index.html.

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