Topiramate

Rank #283 of 500 drugs by total cost

Data: CMS Medicare Part D, 2023 (most current available) · Updated March 2026

$41.9M

Total Cost

1,141,093

Total Claims

$41.9M

Total Cost

33,982

Prescribers

$37

Cost per Claim

130,668

Beneficiaries

1,895,310

30-Day Fills

$1,233

Avg Cost/Provider

Avg Claims/Provider

Share of Medicare Part D Spending

0.02%

of total Medicare Part D spending

$41.9M of $275.65B

Top 10 prescribers of $41.9M total

#	Provider	Specialty	Location	Claims	Cost
1	Ignacio Pita Garcia	Neurology	Guaynabo, PR	193	$298K
2	Brenda Wu	Neurology	New Brunswick, NJ	181	$286K
3	Kimberly Konieczki	Nurse Practitioner	Erie, PA	61	$257K
4	Deborah Zielinski	Nurse Practitioner	Chicago, IL	62	$162K
5	Cormac Odonovan	Neurology	Winston Salem, NC	37	$154K
6	Chantal O'brien	Pain Management	Aurora, CO	29	$138K
7	Toufic Fakhoury	Neurology	Lexington, KY	37	$120K
8	Lenay Santana	Neurology	Fort Myers, FL	48	$120K
9	Mark Bej	Neurology	Sheffield Village, OH	31	$118K
10	Heidi Henninger	Neurology	Scarborough, ME	43	$118K
11	Marina Neystat	Neurology	Forest Hills, NY	71	$107K
12	Laura Lynam	Neurology	Tacoma, WA	32	$104K
13	Blanca Vazquez	Neurology	New York, NY	33	$95K
14	Chunyang Wang	Neurology	Escondido, CA	59	$91K
15	Dragos Sabau	Neurology	Indianapolis, IN	27	$88K

Top prescribers ranked by total cost for this drug in 2023.

#	Drug	Total Cost	Claims
280	Efgartigimod Alfa-Fcab (Vyvgart)	$42.6M	1,005
281	Hydrochlorothiazide (Hydrochlorothiazide)	$42.4M	7,879,021
282	Tadalafil (Tadalafil)	$42.3M	91,082
283	Topiramate (Topiramate)	$41.9M	1,141,093
284	Latanoprostene Bunod (Vyzulta)	$41.6M	92,705
285	Travoprost (Travoprost)	$41.5M	178,599
286	Alendronate Sodium (Alendronate Sodium)	$41.4M	3,414,824

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Data from CMS Medicare Part D Prescriber-Drug Public Use File, 2023. Methodology