Medicare Part D drug Data year 2024 Brand name Source: CMS Part D Prescribers

Actemra

Tocilizumab

Open in the dashboard

Part D claims

25,061

Prescriptions dispensed, refills included

Drug cost

$90,537,534

Paid at the pharmacy, in all

Prescribers

1,191

With 11 or more claims of it

In 2024, Medicare Part D recorded 25,061 claims for Actemra (tocilizumab) from 1,191 prescribers, at a total drug cost of $90.5 million paid at the pharmacy by Medicare, patients and others.

Where it is prescribed

By the prescriber's state · 52 states and territories
Part D claims for Actemra by the state of the prescriber, 2024
State Relative to the most Prescribers Claims Drug cost
CA 151 3,676 $11,610,270
FL 99 2,750 $8,634,075
TX 75 2,037 $6,872,802
NY 87 1,989 $7,980,470
MA 76 1,624 $6,257,681
PA 69 1,402 $4,964,334
OH 40 789 $3,440,588
NJ 34 616 $2,272,880
IL 31 562 $2,195,472
NC 30 522 $1,927,395
GA 27 507 $2,034,170
MI 32 485 $1,890,756
IN 31 482 $1,853,494
WI 26 401 $1,423,848
AZ 13 368 $1,245,985
The other 37 states and territories
State Prescribers Claims Drug cost
LA 17 364 $1,295,086
SC 18 358 $1,609,828
OR 16 349 $1,438,732
MO 19 345 $1,436,968
TN 17 336 $1,177,307
OK 17 334 $914,247
MD 20 323 $1,223,677
WA 18 319 $1,341,404
AL 13 318 $1,154,626
CT 18 300 $1,093,598
MN 17 281 $1,044,999
VA 18 277 $1,169,205
AR 8 252 $802,455
PR 9 241 $882,986
KY 15 235 $979,008
MS 12 209 $595,635
ME 8 189 $697,467
ID 11 178 $579,167
NM 11 171 $721,047
CO 11 169 $698,269
IA 11 155 $600,414
KS 8 151 $561,242
DE 7 136 $567,493
NE 6 93 $381,052
NH 6 92 $336,060
HI 4 89 $267,366
WV 4 83 $264,338
UT 5 83 $317,602
RI 4 82 $423,891
DC 6 79 $286,252
AK 2 58 $246,593
MT 4 55 $226,592
NV 4 54 $247,194
WY 2 39 $141,343
VT 2 26 $138,594
SD 1 17 $50,490
VI 1 11 $21,087

The state is where the prescriber practices, not where the patient lives. Totals are Medicare Part D claims only.

Which specialties prescribe it

Top 15 of 20
Part D claims for Actemra by prescriber specialty, 2024
Specialty Relative to the most Prescribers Claims Drug cost
Rheumatology 875 19,107 $69,638,819
Internal Medicine 127 2,586 $9,084,709
Nurse Practitioner 84 1,543 $5,560,797
Physician Assistant 62 1,113 $4,017,043
Family Practice 11 188 $519,919
Allergy/ Immunology 5 106 $268,610
Ophthalmology 4 82 $305,754
Student in an Organized Health Care Education/Training Program 5 75 $295,647
Neurology 5 70 $252,346
Hematology-Oncology 2 41 $116,720
Hospitalist 2 23 $81,536
Psychiatry & Neurology 1 22 $57,336
Geriatric Medicine 1 16 $64,995
Nephrology 1 15 $35,638
Pharmacist 1 15 $47,239

Specialty is the one printed on each prescriber's Medicare claims.

Largest prescribers

First 5 of 100 by claims · 2024

Two separate records. Claims come from Medicare and related payments from Open Payments. They are shown in one row because they name the same product; they do not show that a payment affected a prescription.

The prescribers with the most Part D claims of this drug in 2024
Prescriber Specialty State Claims Drug cost Related payments
Elvin Garcia Rheumatology TX 310 $768,736 None on record
Naiara Alvarez Rheumatology TX 288 $771,514 None on record
Eric Panahi Internal Medicine CA 220 $540,498 None on record
Gerald Ho Rheumatology CA 217 $442,300 None on record
Guillermo Valenzuela Rheumatology FL 142 $374,960 $18

"No profile" means the prescriber has no Open Payments record here; "None on record" means no payment naming this product in the payment year. Related payments are general payments, and one that names several products is split evenly, so an amount is payments related to the product, not money paid for it. The list is the prescribers with the most claims, up to 100 per drug.

See more in the dashboard: 25 with a free account, all 100 with Patron

Industry payments naming this drug

From CMS Open Payments

Open Payments names products as manufacturers reported them, and CMS does not link them to Part D drugs, so this match is by name and ours. The two records are separate: they do not show that a payment affected a prescription.

Other names for tocilizumab

What this means

Medicare Part D is the part of Medicare that covers prescription drugs dispensed at a pharmacy. Each year CMS publishes, for every prescriber and drug, how many claims were dispensed and what they cost. This page adds those up for one drug.

A claim is one prescription filled, refills included. Drug cost is the total paid at the pharmacy by Medicare, the patient and anyone else; it is not money to the prescriber. CMS leaves out any prescriber with fewer than 11 claims of a drug, so the prescriber count is a floor and a missing prescriber does not mean none.

Part D covers drugs dispensed to Medicare beneficiaries at a pharmacy. It does not include drugs given in a clinic or hospital, patients with other insurance, or the most recent year, which Medicare publishes about two years behind.

Provenance

Source: CMS Medicare Part D Prescribers by Provider and Drug · data year 2024

We reproduce what CMS published. We do not verify, edit or correct the underlying records.

A prescription record is not evidence of wrongdoing, and nothing here is medical advice. Who Paid My Doc is independent and is not affiliated with, endorsed by or sponsored by CMS or any U.S. government agency.

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