Fostemsavir Tromethamine
Brand name: Rukobia
Rank #357 of 500 drugs by total cost
Data: CMS Medicare Part D, 2023 (most current available) · Updated March 2026
$27.8M
Total Cost
3,094
Total Claims
$27.8M
Total Cost
156
Prescribers
$8,970
Cost per Claim
53
Beneficiaries
3,125
30-Day Fills
$178K
Avg Cost/Provider
20
Avg Claims/Provider
Share of Medicare Part D Spending
0.01%
of total Medicare Part D spending
$27.8M of $275.65B
Top Prescribers by Cost
Top 10 prescribers of $27.8M total
🔎 Data Overview
At $8,970 per prescription, this is a high-cost medication. Expensive drugs drive Medicare spending growth and create access challenges for patients with coverage gaps.
Average cost of $177,908 per prescriber suggests this drug may be concentrated among specialists. High per-provider spending can sometimes indicate inappropriate prescribing or overly aggressive use.
Average cost of $523,654 per patient per year. Medications at this price point significantly impact patient out-of-pocket costs and Medicare spending.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Top Prescribers of Fostemsavir Tromethamine
| # | Provider | Specialty | Location | Claims | Cost |
|---|---|---|---|---|---|
| 1 | Jeffrey Burack | Internal Medicine | Oakland, CA | 140 | $971K |
| 2 | Jihad Slim | Infectious Disease | Newark, NJ | 100 | $918K |
| 3 | Cyril Gaultier | Infectious Disease | Palm Springs, CA | 83 | $803K |
| 4 | Ruben Martinez | Family Practice | Harlingen, TX | 86 | $793K |
| 5 | Jhoana Quezada | Nurse Practitioner | El Paso, TX | 64 | $577K |
| 6 | Mark Watkins | General Practice | Philadelphia, PA | 56 | $509K |
| 7 | Andrew Dold | Infectious Disease | Dacula, GA | 54 | $495K |
| 8 | Clayton Barbour | Internal Medicine | Cathedral City, CA | 47 | $420K |
| 9 | Noah Lee | Family Practice | Oakland Park, FL | 41 | $401K |
| 10 | Douglas Taylor | Infectious Disease | East Orange, NJ | 43 | $396K |
| 11 | Linda Mercado | Physician Assistant | Harlingen, TX | 42 | $390K |
| 12 | Federico Hinestrosa | Infectious Disease | Orlando, FL | 41 | $373K |
| 13 | Virginia Cafaro | Internal Medicine | San Francisco, CA | 38 | $356K |
| 14 | David Surovchak | Physician Assistant | Wilson, NC | 38 | $327K |
| 15 | Margaret White | Nurse Practitioner | Houston, TX | 34 | $310K |
Top prescribers ranked by total cost for this drug in 2023.
Related Drugs by Cost
| # | Drug | Total Cost | Claims |
|---|---|---|---|
| 354 | Interferon Beta-1b (Betaseron) | $28.3M | 2,983 |
| 355 | Iloperidone (Fanapt) | $28.2M | 13,925 |
| 356 | Aflibercept (Eylea) | $28.0M | 10,899 |
| 357 | Fostemsavir Tromethamine (Rukobia) | $27.8M | 3,094 |
| 358 | Colchicine (Colchicine) | $27.5M | 314,046 |
| 359 | Valsartan/Hydrochlorothiazide (Valsartan-Hydrochlorothiazide) | $27.5M | 510,583 |
| 360 | Ropinirole Hcl (Ropinirole Hcl) | $27.5M | 1,204,903 |
Related Analysis
Data from CMS Medicare Part D Prescriber-Drug Public Use File, 2023. Methodology