Methylnaltrexone Bromide
Brand name: Relistor
Rank #295 of 500 drugs by total cost
Data: CMS Medicare Part D, 2023 (most current available) · Updated March 2026
$39.8M
Total Cost
16,356
Total Claims
$39.8M
Total Cost
602
Prescribers
$2,432
Cost per Claim
2,734
Beneficiaries
16,871
30-Day Fills
$66K
Avg Cost/Provider
27
Avg Claims/Provider
Share of Medicare Part D Spending
0.01%
of total Medicare Part D spending
$39.8M of $275.65B
Top Prescribers by Cost
Top 10 prescribers of $39.8M total
🔎 Data Overview
At $2,432 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 $14,549 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 Methylnaltrexone Bromide
| # | Provider | Specialty | Location | Claims | Cost |
|---|---|---|---|---|---|
| 1 | Erlinda Ochoa | Nurse Practitioner | San Diego, CA | 322 | $774K |
| 2 | Dalandra Belcher | Nurse Practitioner | Lawrenceville, GA | 266 | $697K |
| 3 | Jesus Lao | Pain Management | San Diego, CA | 243 | $636K |
| 4 | Olga Colac | Nurse Practitioner | Atlanta, GA | 217 | $531K |
| 5 | Scott Linacre | Physician Assistant | Lawrenceville, GA | 202 | $520K |
| 6 | Ricky Lockett | Physical Medicine and Rehabilitation | Saint Petersburg, FL | 190 | $454K |
| 7 | Paul Ky | Physical Medicine and Rehabilitation | Fresno, CA | 176 | $431K |
| 8 | Theodore Kopp | Physical Medicine and Rehabilitation | Mobile, AL | 146 | $397K |
| 9 | Oliver James | Pain Management | Lexington, KY | 144 | $358K |
| 10 | Scott Catone | Physician Assistant | Kerman, CA | 134 | $342K |
| 11 | Jean Minier | Nurse Practitioner | Johns Creek, GA | 132 | $334K |
| 12 | Mahendra Gunapooti | Physical Medicine and Rehabilitation | Florissant, MO | 151 | $333K |
| 13 | Andrea Tonasut Millet | Nurse Practitioner | Ridgecrest, CA | 129 | $321K |
| 14 | Arlene Carungcong | Physician Assistant | Las Vegas, NV | 122 | $313K |
| 15 | Douglas Lynch | Physician Assistant | Las Vegas, NV | 104 | $281K |
Top prescribers ranked by total cost for this drug in 2023.
Related Drugs by Cost
| # | Drug | Total Cost | Claims |
|---|---|---|---|
| 292 | Obeticholic Acid (Ocaliva) | $40.6M | 4,131 |
| 293 | Doxycycline Hyclate (Doxycycline Hyclate) | $40.5M | 2,023,357 |
| 294 | Carbamazepine (Carbamazepine) | $40.4M | 389,090 |
| 295 | Methylnaltrexone Bromide (Relistor) | $39.8M | 16,356 |
| 296 | Spironolactone (Spironolactone) | $39.4M | 3,126,938 |
| 297 | Varenicline Tartrate (Varenicline Tartrate) | $38.8M | 87,274 |
| 298 | Propranolol Hcl (Propranolol Hcl) | $38.7M | 1,168,547 |
Related Analysis
Data from CMS Medicare Part D Prescriber-Drug Public Use File, 2023. Methodology