Obeticholic Acid
Brand name: Ocaliva
Rank #292 of 500 drugs by total cost
Data: CMS Medicare Part D, 2023 (most current available) · Updated March 2026
$40.6M
Total Cost
4,131
Total Claims
$40.6M
Total Cost
254
Prescribers
$9,818
Cost per Claim
0
Beneficiaries
4,497
30-Day Fills
$160K
Avg Cost/Provider
16
Avg Claims/Provider
Share of Medicare Part D Spending
0.01%
of total Medicare Part D spending
$40.6M of $275.65B
Top Prescribers by Cost
Top 10 prescribers of $40.6M total
🔎 Data Overview
At $9,818 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 $159,670 per prescriber suggests this drug may be concentrated among specialists. High per-provider spending can sometimes indicate inappropriate prescribing or overly aggressive use.
Insights generated from CMS data analysis. Statistical patterns are not accusations — always consider clinical context.
Top Prescribers of Obeticholic Acid
| # | Provider | Specialty | Location | Claims | Cost |
|---|---|---|---|---|---|
| 1 | Jeffrey Crippin | Gastroenterology | Saint Louis, MO | 78 | $797K |
| 2 | Cynthia Levy | Internal Medicine | Miami, FL | 63 | $588K |
| 3 | Colin Swales | Gastroenterology | Hartford, CT | 65 | $572K |
| 4 | Paul Pockros | Gastroenterology | La Jolla, CA | 48 | $571K |
| 5 | Ruben Ramirez | Gastroenterology | El Paso, TX | 63 | $567K |
| 6 | Ryan Taylor | Gastroenterology | Kansas City, KS | 52 | $539K |
| 7 | Stephanie Swanson | Nurse Practitioner | Saint Louis, MO | 51 | $499K |
| 8 | Torfay Roman | Internal Medicine | Orlando, FL | 34 | $464K |
| 9 | Raffi Karagozian | Pulmonary Disease | Boston, MA | 36 | $365K |
| 10 | Andrew Keaveny | Gastroenterology | Jacksonville, FL | 41 | $357K |
| 11 | Dina Halegoua-De Marzio | Gastroenterology | Philadelphia, PA | 40 | $357K |
| 12 | Lavelle Ellis | Gastroenterology | Salina, KS | 39 | $357K |
| 13 | Joanna Sampson | Gastroenterology | Bristol, CT | 34 | $351K |
| 14 | Scott Cotler | Gastroenterology | Maywood, IL | 27 | $348K |
| 15 | Rinjal Brahmbhatt | Gastroenterology | Westlake, OH | 21 | $348K |
Top prescribers ranked by total cost for this drug in 2023.
Related Drugs by Cost
| # | Drug | Total Cost | Claims |
|---|---|---|---|
| 289 | Bromfenac Sodium (Prolensa) | $40.8M | 121,284 |
| 290 | Suvorexant (Belsomra) | $40.7M | 87,327 |
| 291 | Atogepant (Qulipta) | $40.7M | 32,955 |
| 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 |
Related Analysis
Data from CMS Medicare Part D Prescriber-Drug Public Use File, 2023. Methodology