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  1. Home
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  3. The Drug Pipeline
Investigation

The Medicare Drug Pipeline

Published February 2026 · 18 min read

Growing Fast

Drug spending's share of Medicare grew from 11.0% overall to 14.8% in 2023 — totaling $94.2B over the decade.

The Specialty Drug Revolution

Medicare drug spending is being driven by a handful of extraordinarily expensive specialty drugs. Aflibercept (Eylea), used for macular degeneration, is the single most expensive drug in Medicare — generating nearly $20 billion in payments over the decade. Cancer drugs, immunotherapies, and biologic agents make up the rest of the top tier.

Why It Matters

As drug costs grow faster than overall Medicare spending, they consume an ever-larger share of the program's budget. The Inflation Reduction Act's drug price negotiation provisions were designed to address this — but they only apply to a small number of drugs initially. The broader trend of specialty drug dominance shows no signs of slowing.

Top 30 Drugs by Medicare Spending

#CodeDescriptionTotal PaymentsProviders

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • CMS National Health Expenditure Data

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.