Tocilizumab
Brand name: Actemra
Rank #159 of 500 drugs by total cost
Data: CMS Medicare Part D, 2023 (most current available) · Updated March 2026
$99.5M
Total Cost
24,891
Total Claims
$99.5M
Total Cost
1,188
Prescribers
$3,998
Cost per Claim
235
Beneficiaries
26,222
30-Day Fills
$84K
Avg Cost/Provider
21
Avg Claims/Provider
Share of Medicare Part D Spending
0.04%
of total Medicare Part D spending
$99.5M of $275.65B
Top Prescribers by Cost
Top 10 prescribers of $99.5M total
🔎 Data Overview
At $3,998 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 $423,418 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 Tocilizumab
| # | Provider | Specialty | Location | Claims | Cost |
|---|---|---|---|---|---|
| 1 | Gerald Ho | Rheumatology | La Palma, CA | 210 | $615K |
| 2 | Celine Ward | Internal Medicine | Charleston, SC | 87 | $500K |
| 3 | Mark Tan | Rheumatology | Smithtown, NY | 107 | $478K |
| 4 | Hing-Sheung Fung | Internal Medicine | Waco, TX | 122 | $465K |
| 5 | Mark Matza | Rheumatology | Boston, MA | 101 | $454K |
| 6 | Shubhasree Banerjee | Rheumatology | Philadelphia, PA | 94 | $441K |
| 7 | Alexandra Villa Forte | Rheumatology | Cleveland, OH | 88 | $437K |
| 8 | Guillermo Valenzuela | Rheumatology | Plantation, FL | 145 | $411K |
| 9 | Ricardo Garcia Alemany | Rheumatology | Hialeah, FL | 89 | $381K |
| 10 | Maria Thomas-John | Rheumatology | Dayton, OH | 50 | $374K |
| 11 | Jeanne Gosselin | Rheumatology | Burlington, VT | 92 | $372K |
| 12 | Brendan Thoms | Rheumatology | Burlington, VT | 88 | $336K |
| 13 | Cosmin Dascalu | Rheumatology | Glen Oaks, NY | 89 | $320K |
| 14 | William Monaco | Rheumatology | Lebanon, NH | 58 | $317K |
| 15 | Lauren Wire | Nurse Practitioner | Hilliard, OH | 64 | $311K |
Top prescribers ranked by total cost for this drug in 2023.
Related Drugs by Cost
| # | Drug | Total Cost | Claims |
|---|---|---|---|
| 156 | Quetiapine Fumarate (Quetiapine Fumarate) | $100.9M | 3,820,737 |
| 157 | Ubrogepant (Ubrelvy) | $100.6M | 75,781 |
| 158 | Darunavir/Cobicistat (Prezcobix) | $99.7M | 38,374 |
| 159 | Tocilizumab (Actemra) | $99.5M | 24,891 |
| 160 | Omalizumab (Xolair) | $98.9M | 30,451 |
| 161 | Brimonidine Tartrate (Alphagan P) | $98.8M | 988,570 |
| 162 | Dexlansoprazole (Dexlansoprazole Dr) | $98.7M | 275,116 |
Related Analysis
Data from CMS Medicare Part D Prescriber-Drug Public Use File, 2023. Methodology