What Medicare members pay out-of-pocket for 10 ultra-expensive drugs

Medicare beneficiaries pay more on average than commercial beneficiaries for "ultra-expensive" drugs, a study published in JAMA Health Forum found. 

The study, published May 26, compared claims data for Part D beneficiaries and commercially insured individuals aged 45 to 64 years who received ultra-expensive drugs between 2013 and 2019. 

Ultra-expensive drugs are those that cost more per beneficiary per year than the U.S. gross domestic product per capita in that year, according to the study. In 2019, the GDP per capita was $65,120.40.

Many of the drugs on the list are cancer treatments. 

Here's the average cost Medicare beneficiaries and commercial insurance members paid annually for the most expensive drugs in 2019: 

Ruxolitinib

Use: treats myelofibrosis, a bone marrow cancer, and polycythemia vera, a blood cancer

Medicare Part D: $5,692

Commercial insurance: $1,991

Lenalidomide 

Use: treats myelodysplastic syndrome, multiple myeloma 

Medicare Part D: $5,401

Commercial insurance: $1,248

Pomalidomide

Use: treats multiple myeloma, Karopsi's sarcoma 

Medicare Part D: $4,816

Commercial insurance: $947

Ledipasvir-sofosbuvir

Use: treats chronic hepatitis C 

Medicare Part D: $4,603

Commercial insurance: $2,470

Ibrutinib

Use: treats some forms of leukemia and lymphoma 

Medicare Part D: $4,792

Commercial insurance: $1,548

Palbociclib 

Use: treats advanced breast cancer 

Medicare Part D: $4,076

Commercial insurance: $1,998

Dimethyl fumarate

Use: treats multiple sclerosis 

Medicare Part D: $3,997

Commercial insurance: $2,144

Nintedanib

Use: treats idiopathic pulmonary fibrosis

Medicare Part D: $3,666

Commercial insurance: $1,444

Enzalutamide 

Use: treats prostate cancer 

Medicare Part D: $2,980

Commercial insurance: $1,181

Ustekinumab

Use: treats plaque psoriasis, ulcerative colitis, Crohn's disease

Medicare Part D: $1,596

Commercial insurance: $1,760

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