Onabotulinumtoxina
Brand name: Botox
Rank #306 of 500 drugs by total cost
Data: CMS Medicare Part D, 2023 (most current available) · Updated March 2026
$37.0M
Total Cost
25,440
Total Claims
$37.0M
Total Cost
767
Prescribers
$1,455
Cost per Claim
7,373
Beneficiaries
71,757
30-Day Fills
$48K
Avg Cost/Provider
33
Avg Claims/Provider
Share of Medicare Part D Spending
0.01%
of total Medicare Part D spending
$37.0M of $275.65B
Top Prescribers by Cost
Top 10 prescribers of $37.0M total
🔎 Data Overview
At $1,455 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 $5,022 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 Onabotulinumtoxina
| # | Provider | Specialty | Location | Claims | Cost |
|---|---|---|---|---|---|
| 1 | Warren Spinner | Neurology | Port Jefferson Station, NY | 391 | $608K |
| 2 | Jay Mahajan | Neurology | Las Vegas, NV | 321 | $520K |
| 3 | Martin Taylor | Neurology | New Albany, OH | 206 | $412K |
| 4 | Marianne De Lima | Neurology | Chandler, AZ | 215 | $368K |
| 5 | Seth Pullman | Neurology | New York, NY | 175 | $254K |
| 6 | Ziyad Ayyoub | Physical Medicine and Rehabilitation | Paramount, CA | 83 | $234K |
| 7 | Amy Tees | Nurse Practitioner | Tucson, AZ | 175 | $232K |
| 8 | Javed Iqbal | Neurology | Las Cruces, NM | 180 | $230K |
| 9 | Robert Balsiger | Neurology | Las Vegas, NV | 119 | $230K |
| 10 | Mohammed Choudhry | Neurology | Leesburg, FL | 133 | $229K |
| 11 | Mohamed Khalil | Neurology | Webster, TX | 118 | $228K |
| 12 | Rocco Dipaola | Neurology | Toms River, NJ | 109 | $219K |
| 13 | Juan Lacayo | Neurology | Loganville, GA | 135 | $217K |
| 14 | Brandon Woods | Neurology | Sun City, AZ | 154 | $213K |
| 15 | Chigolum Eze | Neurology | El Paso, TX | 135 | $200K |
Top prescribers ranked by total cost for this drug in 2023.
Related Drugs by Cost
| # | Drug | Total Cost | Claims |
|---|---|---|---|
| 303 | Risperidone (Risperidone) | $37.4M | 1,480,207 |
| 304 | Prednisone (Prednisone) | $37.3M | 5,970,737 |
| 305 | Tacrolimus (Tacrolimus) | $37.1M | 175,053 |
| 306 | Onabotulinumtoxina (Botox) | $37.0M | 25,440 |
| 307 | Azelastine Hcl (Azelastine Hcl) | $36.6M | 996,341 |
| 308 | Tizanidine Hcl (Tizanidine Hcl) | $36.5M | 2,602,362 |
| 309 | Fentanyl (Fentanyl) | $36.2M | 324,419 |
Related Analysis
Data from CMS Medicare Part D Prescriber-Drug Public Use File, 2023. Methodology