Specialty drugs represented 50% of total drug spending in 2024. While the majority (80%) of prescriptions that Americans fill are for generic drugs, brand name drugs accounted for 80% of prescription drug spending in both retail and non-retail settings, with little change over time.
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Although generics fill 80% of prescriptions, brand-name drugs dominate spending at 80%. High-cost specialty drugs drove $301 billion in drug
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