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. Author manuscript; available in PMC: 2019 Sep 1.
Published in final edited form as: Urol Pract. 2018 Sep;5(5):351–359. doi: 10.1016/j.urpr.2017.07.004

Table.

Overall claims, costs per day, payments and potential savings for all providers in the 2014 Medicare Part D Provider file for selected urological medications

Total Claims Cost/Day ($) Total Payment ($) Potential Savings ($)*
Benign prostatic hyperplasia:
 Tamsulosin 11,685,671 0.49 272,159,867
 Finasteride 4,357,475 0.41 96,934,658
 Doxazosin 2,675,599 0.64 85,149,342 20,214,395
 Terazosin 1,875,481 0.20 21,506,103
 Dutasteride§ 1,228,151 4.59 248,567,328 226,415,280
 Silodosin§ 371,318 4.97 75,469,772 68,218,394
 Alfuzosin 336,448 0.62 10,594,369 2,389,479
 Tamsulosin/dutasteride§ 177,141 4.61 34,609,473 27,956,318
 Tamsulosin§ 8,812 7.56 2,236,066 2,093,388
 Alfuzosin§ 2,951
12.69 1,213,514
1,167,656
  Totals 22,719,047 848,440,492 348,454,910
Erectile dysfunction:
 Sildenafil§ 139,631 5.13 19,322,544 4,410,225
 Tadalafil§ 118,128 5.41 21,691,569 5,801,689
 Vardenafil,§ 7,672
3.96 903,739

  Totals 265,431 41,917,852 10,211,914
Overactive bladder:
 Oxybutynin ER 2,134,463 1.51 128,391,118
 Oxybutynin 2,104,026 0.81 69,772,973
 Solifenacin§ 1,832,621 7.33 488,877,010 387,696,116
 Tolterodine ER 495,103 5.78 101,778,596 75,158,201
 Mirabegron§ 469,687 8.13 139,126,085 112,992,782
 Fesoterodine§ 396,576 6.38 89,588,979 68,201,128
 Darifenacin§ 129,444 6.86 29,012,619 22,579,355
 Trospium 127,889 2.54 14,427,825 5,777,546
 Tolterodine 122,889 4.13 14,993,612 9,513,222
 Trospium ER 63,698 5.03 13,177,983 9,181,407
 Tolterodine ER§ 42,047
7.96 8,679,463
7,031,076
  Totals 7,918,443 1,097,826,263 698,130,833
  Cumulative totals 30,902,921 1,988,184,607 1,056,797,657
*

Calculated as total cost of drug X — (total supply of drug X * cost/day of comparator medication).

Reference medication for cost comparisons within each drug class or condition.

Medications that were less expensive than the selected comparator medication were excluded from savings calculations.

§

Brand name medication.