Medicare blockbusters list prices have more than doubled since launch

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Two blood thinners that Medicare spent a collective $46 billion on between 2015 and 2020 have more than doubled their list prices since entering the market, according to a new analysis.

List prices don't reflect the rebates negotiated between drug manufacturers and payers, but they are often used to determine Medicare Part D cost sharing — meaning as prices go up, patients pay more out of pocket.More than 8 million Americans regularly take blood thinners. Until 2010, the standard of care was warfarin, which was cheap but carried the risk of heavy bleeding.

Those list prices have increased in tandem over time, and both are now more than $500 for a month's supply.

 

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