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Analysis shows Medicare Part D spent nearly $40 billion more on top brand name drugs between 2015 and 2019 due to price increases that exceeded the general inflation rate

June 8, 2021 - En Español | WASHINGTON - In 2020, retail prices for 260 widely used brand name prescription drugs increased more than twice as fast as general inflation, prescription drugsrising 2.9% compared to an inflation rate of 1.3%, according to a new report from AARP’s Public Policy Institute (PPI). The average annual cost for one brand name medication used on a regular basis was over $6,600, more than $1,500 higher than in 2015. For the typical older American taking 4-5 prescription drugs per month, the annual cost of therapy would have been more than $31,000 last year, more than the nearly $30,000 average annual income for Medicare beneficiaries.

“It’s inexcusable that even during a pandemic and financial crisis, brand name drug companies continued to increase their prices so much faster than the prices of other goods and services,” said Debra Whitman, Executive Vice President and Chief Public Policy Officer at AARP. “No one should be forced to choose between paying their bills and paying for the medicine they need to stay healthy. Our leaders need to take action now to lower drug prices. ”

Although 2020 had the slowest average annual price increase since at least 2006, it was still more than twice the rate of inflation and followed several years with considerably higher average annual price increases. AARP analyzed how these price trends accumulated over time and found that the average annual cost of drug therapy for one brand name drug used regularly would have been almost $3,700 lower in 2020 if retail price changes had been limited to inflation between 2006 and 2020. These cost increases have had significant impact on medications used to treat common chronic conditions.

  • Between 2015 and 2020, the retail prices of several widely used prescription drugs used to treat diabetes increased, such as Victoza, which increased from $7,936 per year in 2015 to $11,300 in 2020, and Trulicity, which increased from $6,567 to $9,323 over the same time period.
  • Medications for asthma and COPD also continued climbing in costs, such as Spiriva Handihaler, which increased from $3,886 per year in 2015 to $5,289 per year in 2020, and Symbicort, which increased from $3,391 to $4,282 over the same time period.

Drug price increases also play a major role in Medicare Part D spending. A second AARP PPI analysis found that, between 2015 and 2019, Medicare Part D spent nearly $40 billion more on 50 top brand name drugs that was solely attributable to drug price increases that exceeded inflation. Medicare Part D spending for the top 50 drugs would have totaled $250.8 billion over the study period—instead of $289.1 billion—if price changes had been limited to the rate of general inflation.

“On average, nearly 90% of the top 50 brand name drugs had annual price increases that exceeded the corresponding rate of inflation from 2015 through 2019,” said Leigh Purvis, Director Health Care Costs and Access, AARP Public Policy Institute, and co-author of the reports. “It’s unfair that drug prices keep rising, even for medications that have been on the market for decades. Americans can’t afford to keep paying the highest drug prices in the world.”

AARP has been at the forefront of calling on national and state lawmakers to take action to lower prescription drug prices and is pushing for support on a number of federal policy solutions, including:

  • Price Negotiation: Allow Medicare to negotiate the prices of prescription drugs for its beneficiaries and allow other insurers to have access to the Medicare-negotiated prices.
  • Inflation Based Rebates: Require drug manufacturers to pay a penalty when their prices for prescription drugs covered by Medicare Parts B and D increase faster than inflation.
  • Out-of-Pocket Cap: Create a hard out-of-pocket spending cap for Medicare Part D enrollees.

To view “Rx Price Watch Report: Trends in Retail Prices of Brand Name Prescription Drugs Widely Used by Older Adults, 2006 to 2020” visit www.aarp.org/rxpricewatch.


About AARP
AARP is the nation’s largest nonprofit, nonpartisan organization dedicated to empowering people 50 and older to choose how they live as they age. With a nationwide presence and nearly 38 million members, AARP strengthens communities and advocates for what matters most to families: health security, financial stability and personal fulfillment. AARP also produces the nation's largest circulation publications: AARP The Magazine and AARP Bulletin. To learn more, visit www.aarp.org or follow @AARP and @AARPadvocates on social media.
Source: AARP