Solifenacin vs Trospium — Cost, Coverage & Plan Comparison

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Up to 4 drugsCross-class or same-class

Start with the molecules your plan spends the most on. Most useful comparisons live within the same therapeutic class — switching across classes requires deeper clinical review.

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Federal data onlyNo PBM pricing assumed

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11 dimensions

Cholinergic Muscarinic Antagonist

Solifenacin

Brand: VESIcare

First FDA approval: 2005-01-05

Cholinergic Muscarinic Antagonist

Trospium

First FDA approval: 2010-08-13

Lowest NADACAcquisition cost floor across all NDCs

$0.173Per unit

$0.234Per unit

Average NADACAcross all dosage forms and strengths

$0.803Up to $12.30

$0.728Up to $1.92

Generic manufacturersActive ANDA holders — FDA Orange Book

1734 total ANDAs filed

1011 total ANDAs filed

Annualized Part D spendCY2024 — CMS Part D Spending Dashboard

$109.6MFull year

$72.4MFull year

Part D claims (CY24)Total fills, all strengths

2.2M743K beneficiaries

915K339K beneficiaries

Avg cost per claimCalculated: total spend ÷ total claims

$50Per claim, all NDCs

$79Per claim, all NDCs

Part D plans surveyed2026 plan year — CMS Formulary file

329Across CMS plan year

Prior-authorization frictionPlan-NDC pairs requiring PA

4Minimal friction

Step therapy appliedPlan-NDC pairs requiring step therapy

0None

11Limited friction

FDA shortage statusLive cross-reference vs FDA Drug Shortage Database

NoneClear

Generic availableFDA Orange Book

Yes17 manufacturers

Yes10 manufacturers