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. 2018 Aug 21;320(7):650–656. doi: 10.1001/jama.2018.11439

Table 1. Characteristics of 29 Brand-name Combination Drugs Used in Medicare Part D in 2016.

Brand-name Combination Drug Generic Constituents Therapeutic Area No. of Medicare Beneficiaries in 2016a Change in List Price Between 2011 and 2016b
Amount of Increase/Pill, $c % Increased
Constituents Available as Generic Medications at Identical Doses Category
Epzicom Abacavir, lamivudine Infectious disease 15 713 11.43 36
Bidil Isosorbide dinitrate, hydralazine Cardiovascular 11 187 0.91 45
Diovan HCT Valsartan, hydrochlorothiazide Cardiovascular 7536 4.17 115
Pylera Bismuth, metronidazole, tetracycline Infectious disease 5814 2.51 75
Exforge Amlodipine, valsartan Cardiovascular 5036 4.29 109
Percocet Oxycodone, acetaminophen Pain 4097 9.58 206
Hyzaar Losartan, hydrochlorothiazide Cardiovascular 2902 1.25 39
Micardis HCT Telmisartan, hydrochlorothiazide Cardiovascular 2474 2.42 73
Lotrel Amlodipine, benazepril Cardiovascular 2405 3.86 87
Fosamax Plus D Alendronate, vitamin D3 Endocrine 2068 15.28 64
Simcor Extended-release niacin, simvastatin Cardiovascular 1967 2.50 82
Exforge HCT Amlodipine, valsartan, hydrochlorothiazide Cardiovascular 1517 4.35 109
Zegerid Omeprazole, sodium bicarbonate Gastrointestinal 1486 78.36 989
Tarka Trandolapril, extended-release verapamil Cardiovascular 1365 1.10 35
Caduet Amlodipine, atorvastatin Cardiovascular 1219 6.21 109
Advicor Extended-release niacin, lovastatin Cardiovascular 1056 3.03 80
Avalide Irbesartan, hydrochlorothiazide Cardiovascular 1047 3.57 110
Arthrotec 75 Diclofenac, misoprostol Pain 794 3.09 111
Actoplus Met XR Pioglitazone, extended-release metformin Endocrine 732 6.65 121
Stalevo 100 Carbidopa, levodopa, entacapone Neurological 295 2.87 88
Generic Constituents at Different Doses Category
Nuedexta Dextromethorphan, quinidine Neurological 50 402 3.64 42
Duexis Ibuprofen, famotidine Pain 5907 18.65 1160
Treximet Sumatriptan, naproxen sodium Neurological 1878 57.60 256
Therapeutically Equivalent Generic Substitutes Category
Benicar HCT Olmesartan, hydrochlorothiazide Cardiovascular 158 083 3.54 106
Azor Amlodipine, olmesartan Cardiovascular 54 139 4.05 105
Tribenzor Olmesartan, amlodipine, hydrochlorothiazide Cardiovascular 32 869 4.22 105
Jalyn Dutasteride, tamsulosin Urological 12 920 1.86 51
Edarbyclor Azilsartan, chlorthalidone Cardiovascular 11 805 2.53e 90
Vimovo Naproxen, esomeprazole Pain 5958 28.48 1759
a

Indicates the number of unique Medicare enrollees who took this medication.

b

Reported by the Centers for Medicare & Medicaid Services.

c

Mean price per dosage unit (pill, tablet, or other dosage form) weighted to account for variation in claims volume for different strengths, routes, and dosage forms.

d

Rounded to the nearest whole number.

e

Change in list price from 2012 to 2016.