RxLedger

Medicare Part D drug rankings

These rankings sort the 3,598 drugs in the CMS Medicare Part D dataset (2023) by the questions people search most: the biggest total spend, the highest spend per dosage unit, the fastest-rising prices, the highest spend per beneficiary, and the most claims. All figures are aggregate Medicare program spending, not the price any individual pays.

Source: CMS Medicare Part D Spending by Drug (data year 2023). Data as of June 2026.

Biggest total Medicare Part D spend

Drugs ranked by total Part D spending in 2023 — the largest lines in the program.

Highest spend per dosage unit

Drugs with the highest average Medicare spending per dosage unit (pill, mL or other billing unit).

Fastest-rising prices

Drugs with the largest year-over-year increase in spending per dosage unit (2022 to 2023).

Highest spend per beneficiary

Drugs with the highest average annual Medicare Part D spending per beneficiary.

Most claims

The drugs with the most Medicare Part D claims — the most-dispensed medicines.

Want every drug in one place? See the A–Z drug index, or browse by manufacturer.

Last updated: 2026-06-21