Vibegron

Brand name: Gemtesa

Rank #98 of 500 drugs by total cost

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

$185.2M

Total Cost

283,953

Total Claims

$185.2M

Total Cost

5,567

Prescribers

$652

Cost per Claim

57,107

Beneficiaries

410,009

30-Day Fills

$33K

Avg Cost/Provider

Avg Claims/Provider

Share of Medicare Part D Spending

0.07%

of total Medicare Part D spending

$185.2M of $275.65B

Top 10 prescribers of $185.2M total

#	Provider	Specialty	Location	Claims	Cost
1	Igor Ryndin	Urology	Brooklyn, NY	1,016	$1.3M
2	Alexander Gershman	Urology	Los Angeles, CA	1,129	$626K
3	Leah Nakamura	Urology	Laguna Hills, CA	661	$529K
4	Jose Maymi	Urology	Brownsville, TX	662	$512K
5	Melody Denson	Urology	Austin, TX	614	$469K
6	Alienor Gilchrist	Urology	Stockbridge, GA	652	$412K
7	Ricardo Palmerola	Urology	Miami, FL	587	$400K
8	Muriel Boreham	Obstetrics & Gynecology	Dallas, TX	535	$396K
9	Nancy Serbellon	Nurse Practitioner	New York, NY	313	$377K
10	Teodora Schellato	Urology	Philadelphia, PA	458	$376K
11	Lara Matheson	Urology	Houston, TX	566	$365K
12	Angel Johnson	Obstetrics & Gynecology	New York, MA	440	$360K
13	Scott Macdiarmid	Urology	Greensboro, NC	450	$359K
14	Katherine Shaio	Obstetrics & Gynecology	Stamford, CT	411	$331K
15	Nancy Wilcox	Nurse Practitioner	Rochester, NY	427	$311K

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

#	Drug	Total Cost	Claims
95	Darolutamide (Nubeqa)	$188.8M	14,375
96	Fluticasone Propionate (Fluticasone Propionate)	$187.5M	5,343,836
97	Hydrocodone/Acetaminophen (Hydrocodone-Acetaminophen)	$185.6M	8,496,609
98	Vibegron (Gemtesa)	$185.2M	283,953
99	Omeprazole (Omeprazole)	$182.7M	12,147,266
100	Amlodipine Besylate (Amlodipine Besylate)	$180.1M	20,835,727
101	Dolutegravir Sodium/Lamivudine (Dovato)	$173.3M	56,930

The 20 drugs that cost Medicare the most.

Why some providers resist cheaper generics.

How pharmacy benefit managers drive up drug prices.

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