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How Medicare 'spending per dosage unit' is calculated

By RxLedger Editorial · 2026-06-12

In short: Spending per dosage unit is total Medicare Part D spending on a drug divided by total dosage units (pills, tablets, mL or grams), volume-weighted across formulations. It lets you compare how costly drugs are per unit, but it is not the price of a prescription or the price you pay.

“Spending per dosage unit” is the metric behind most drug-price comparisons in the Medicare Part D data, but it is widely misunderstood. Here is exactly how it works.

The formula

Spending per dosage unit = Total spending ÷ Total dosage units

A dosage unit is one billing unit of the drug — a single pill, tablet, capsule, milliliter or gram. CMS sums all units dispensed across every claim in the year, then divides total spending by that count. Because a drug can come in several strengths and pack sizes, the result is a volume-weighted average.

Worked example: Eliquis

Eliquis had about $18.3B in total Part D spending across roughly 1.875 billion dosage units in 2023:

QuantityValue
Total spending$18.3B
Total dosage units~1.875 billion
Spending per dosage unit$9.74

So each Eliquis tablet cost the program about $9.74 on average. A 60-tablet monthly supply would be roughly $584 of program spending — close to its per-claim figure.

Per unit vs per claim vs per beneficiary

These three metrics answer different questions:

MetricQuestion it answers
Per dosage unitHow costly is the drug per pill/mL?
Per claimHow much does one prescription fill cost?
Per beneficiaryHow much does the drug cost per patient per year?

A high per-unit drug like Humira pen (over $3,750 per dosage unit) looks very different on a per-claim basis than a cheap generic taken daily.

What it is not

Spending per dosage unit is gross program spending, not net of confidential rebates, and not the price you pay. It is a comparison tool, not a price tag. This is general information, not medical or pricing advice.

Source: CMS Medicare Part D Spending by Drug, data year 2023, U.S. public domain.

Frequently asked questions

What is a dosage unit?

A dosage unit is one billing unit of a drug: a single pill, tablet, capsule, milliliter or gram, depending on how the drug is measured. CMS counts total dosage units dispensed, then divides total spending by that count.

Is spending per dosage unit the price of a prescription?

No. A prescription usually contains many dosage units (e.g. 30 or 90 pills). Spending per dosage unit times the number of units in a fill approximates the per-claim cost, but the actual price you pay depends on your plan.

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Last updated: 2026-06-12