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Drug class profile · refreshed daily from federal data

Opioid Agonist

16 molecules in this class, $1.11B combined CY2024 Part D spend across 23.1M claims. Class-level guide below for benefits decision-makers: where the money lives, where the savings live.

Last updated
NADAC: weekly (every Wed)Part D Formulary: quarterlyPart D Spend: annualOrange Book: weeklyShortages: daily

Class summary at a glance.

Every drug in the Opioid Agonist class tracked across NADAC, Part D Formulary, Part D Spending, FDA Orange Book, and shortage data. Ranked below by CY24 Part D spend. Click any molecule for the full drug profile.

Molecules in class
16tracked in Part D
CY24 Part D spend
$1.11Bcombined across class
Total Rx claims
23.1M6.9M unique beneficiaries
Generic mfrs (active)
112across all molecules

Every drug in this class, ranked by Part D spend.

CY2024 dataCMS Part D Spending Dashboard
01
Oxycodone
Brand: OXAYDO · 14.7M Part D claims (CY24) · 4.7M beneficiaries · First FDA approval:
18 generic mfrs 254 plans require PA Discontinued
Low NADAC$0.045
Avg plan cost$2.87
Part D spend $737.4M 64× spread, current vs floor
Class share
67%
of class CY24 spend
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02
Fentanyl
Brand: Fentanyl system · 1.2M Part D claims (CY24) · 205K beneficiaries · First FDA approval:
5 generic mfrs 1102 plans require PA Active FDA shortage
Low NADAC$1.24
Avg plan cost$11.27
Part D spend $139.6M spread, current vs floor
Class share
13%
of class CY24 spend
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03
Morphine
Brand: Duramorph · 3.8M Part D claims (CY24) · 823K beneficiaries · First FDA approval:
15 generic mfrs 829 plans require PA Active FDA shortage
Low NADAC$0.044
Avg plan cost$0.861
Part D spend $108.2M 19× spread, current vs floor
Class share
10%
of class CY24 spend
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04
Oxymorphone
43K Part D claims (CY24) · 6K beneficiaries · First FDA approval:
7 generic mfrs 0 plans require PA
Low NADAC$1.22
Avg plan cost$1.22
Part D spend $29.7M spread, current vs floor
Class share
3%
of class CY24 spend
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05
Hydromorphone
Brand: Dilaudid · 1.2M Part D claims (CY24) · 345K beneficiaries · First FDA approval:
8 generic mfrs 164 plans require PA Active FDA shortage
Low NADAC$0.166
Avg plan cost$2.33
Part D spend $28.7M 14× spread, current vs floor
Class share
3%
of class CY24 spend
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06
Loperamide
1.4M Part D claims (CY24) · 709K beneficiaries · First FDA approval:
8 generic mfrs 0 plans require PA
Low NADAC$0.053
Avg plan cost$0.053
Part D spend $24.5M spread, current vs floor
Class share
2%
of class CY24 spend
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07
Levorphanol
7K Part D claims (CY24) · 1K beneficiaries · First FDA approval:
5 generic mfrs 2 plans require PA
Low NADAC$10.65
Avg plan cost$10.65
Part D spend $20.6M spread, current vs floor
Class share
2%
of class CY24 spend
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08
Methadone
Brand: DISKETS · 830K Part D claims (CY24) · 122K beneficiaries · First FDA approval:
11 generic mfrs 429 plans require PA
Low NADAC$0.102
Avg plan cost$0.221
Part D spend $16.9M spread, current vs floor
Class share
2%
of class CY24 spend
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09
Meperidine
Brand: DEMEROL · 2K Part D claims (CY24) · 675 beneficiaries · First FDA approval:
4 generic mfrs 12 plans require PA Active FDA shortage
Low NADAC$0.155
Avg plan cost$0.155
Part D spend $1.9M spread, current vs floor
Class share
0%
of class CY24 spend
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10
Fentanyl Transdermal
Part D claims (CY24) · First FDA approval:
Brand-only (no generics)
Low NADAC$5.69
Avg plan cost$15.74
Part D spend spread, current vs floor
Class share
0%
of class CY24 spend
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12
Hydrocodone and Apap
Brand: Norco · Part D claims (CY24) · First FDA approval:
Brand-only (no generics)
Low NADAC
Avg plan cost
Part D spend  
Class share
0%
of class CY24 spend
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13
Morphine Tincture
Brand: Opium Tincture Deodorized · Part D claims (CY24) · First FDA approval:
Brand-only (no generics)
Low NADAC$2.70
Avg plan cost$2.70
Part D spend spread, current vs floor
Class share
0%
of class CY24 spend
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14
Oxycodone and Acetaminophen
Brand: ENDOCET · Part D claims (CY24) · First FDA approval:
17 generic mfrs 12 plans require PA Discontinued
Low NADAC$0.120
Avg plan cost$1.45
Part D spend 12× spread, current vs floor
Class share
0%
of class CY24 spend
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15
Sufentanil
Brand: Dsuvia · Part D claims (CY24) · First FDA approval:
2 generic mfrs Active FDA shortage
Low NADAC
Avg plan cost
Part D spend  
Class share
0%
of class CY24 spend
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16
Tramadol and Acetaminophen
Part D claims (CY24) · First FDA approval:
6 generic mfrs 3 plans require PA
Low NADAC$0.101
Avg plan cost$0.101
Part D spend spread, current vs floor
Class share
0%
of class CY24 spend
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