4
7
12
17
6
5
11
2
3
1
2025 Rank
Total cost
Top 50 high-cost Injectable drugs
Every year, we share the top injectable drugs in an effort to provide meaningful market and data trends. Here's our compilation of the top 50 injectable drugs to help you anticipate what drugs could impact your claims. Click on each injectable drug name below to view year-over-year member data and learn more about each drug!
26
18
9
22
16
40
14
10
30
Keytruda
$93.0M
Opdivo
$27.9M
Darzalex Faspro
$33.5M
Tepezza
$10.7M
Ultomiris
$16.4M
Perjeta
$15.1M
Adcetris
$9.6M
Neulasta
$10.6M
Yervoy
$13.1M
Enhertu
$22.2M
Average cost
# of users
603
239
201
35
40
159
38
381
104
124
15
29
41
19
25
21
23
16
24
32
39
27
35
31
28
34
33
37
20
42
49
48
47
46
50
43
44
42
41
$178.8K
$125.5K
$27.8K
$253.2K
$95.2K
$409.1K
$305.1K
$166.7K
$116.9K
$154.3K
Cancer
Blood Disorder
All others
RESET
Click here to filter by category
Soliris
16
$5.3M
$332.1K
Ocrevus
104
$11.2M
$107.3K
Krystexxa
23
$10.2M
$441.7K
Kadcyla
74
$10.6M
$142.8K
Kyprolis
47
$4.5M
$94.9K
Uncategorized Drugs
1497
$8.99M
$6K
Gamunex-C, Gammaked
116
$7.7M
$66.7K
Durvalumab
95
$11.4M
$119.9K
Hemlibra
22
$9.5M
$431.7K
Gammagard
106
$6.7M
$63.1K
Padcev
28
$7.2M
$257.0K
Romiplostim
53
$7.2M
$135.8K
Blincyto
36
$9.7M
$268.9K
Zolgensma
4
$7.3M
$1.8M
Opdualag
23
$8.2M
$356.4K
Rylaze
14
$7.1M
$506.1K
Trodelvy
49
$8.9M
$181.2K
22
Spinraza
11
$4.4M
$403.8K
Herceptin
60
$5.9M
$98.5K
Lumizyme, Myozyme
10
$10.1M
$1M
Vyvgart
21
$8.6M
$408.4K
Vectibix
39
$4.7M
$119.9K
Tecentriq
43
$4.9M
$113.7K
Xgeva
251
$4.8M
$19.2K
Entyvio
80
$5.9M
$74.1K
Privigen
63
$5.2M
$83.3K
Kimmtrak
4
$4.8M
$1.19M
Viltepso
$6.2M
$1M
Nplate
40
$4.5M
$112.1K
Phesgo
52
$5.0M
$96.7K
Abraxane
71
$4.2M
$59.6K
Inflectra, Remicase
71
$4.2M
$58.8K
Nexviazyme
7
$4.2M
$601.5K
Rybrevant
11
$4.2M
$385.9K
Hemgenix
1
$3.5M
$3.5M
Polivy (Polatuzumab vedotin-piiq)
28
$4.0M
$143.8K
Skyrizi (Risankizumab-rzaa)
93
$4.0M
$42.7K
Cyramza
32
$3.9M
$123.2K
Alprolix
5
$3.7M
$739.2K
Source: Sun Life book of business data. Top 20 rank order, average paid, total paid and condition category are all based on 2024 book of business data.
Group stop-loss insurance policies are underwritten by Sun Life Assurance Company of Canada (Wellesley Hills, MA) in all states, except New York, under Policy Form Series 07-SL REV 7-12 and 22-SL. In New York, Group stop-loss insurance policies are underwritten by Sun Life and Health Insurance Company (U.S.) (Lansing, MI) under Policy Form Series 07-NYSL REV 7-12 and 22-NYSL. Policy offerings may not be available in all states and may vary due to state laws and regulations. Not approved for use in New Mexico.
© 2026 Sun Life Assurance Company of Canada, Wellesley Hills, MA 02481. All rights reserved. The Sun Life name and logo are registered trademarks of Sun Life Assurance Company of Canada. Visit us at www.sunlife.com/us.
SLDX-1573-3-b #1362359261 05/24 (exp. 05/26)
Asparlas (Calaspargase Pegol)
28
$4.3M
$155.1K
Injectable drugs for cancer
Injectable Drug
Total Cost
# of Users
Average Cost
Injectable Drug
Total Cost
# of Users
Average Cost
Injectable drugs for blood disorders
Injectable drugs for all other categories
Injectable drug
2025 Rank
2025 Rank
Click on each injectable drug name below to learn more!
6
2025 Rank
Injectable drug
# of users
Total cost
Average cost
13
1
Keytruda
603
$93M
$154.3K
2
Darzalex Faspro
201
$33.5M
$166.7K
3
Opdivo
239
$27.9M
$116.9K
4
Enhertu
124
$22.2M
$178.8K
6
Perjeta
159
$15.1M
$$95.2K
7
Yervoy
104
$13.1M
$125.5K
9
Durvalumab
95
$11.4M
$119.9K
12
Neulasta
381
$10.6M
$$27.8K
13
Kadcyla
74
$10.6M
$142.8K
16
Blincyto
36
$9.7M
$268.9K
17
Adcetris
38
$9.6M
$253.2K
19
Trodelvy
49
$8.9M
$181.2K
21
Opdualag
23
$8.2M
$356.4K
24
Padcev
28
$7.2M
$257.0K
25
Rylaze
14
$7.1M
$506.1K
32
Phesgo
52
$5M
$96.7K
Tecentriq
43
$4.9M
$113.7K
33
Xgeva
251
$4.8M
$19.2K
34
35
Kimmtrak
4
$4.8M
$1.2M
Jemperli (Dostarlimab-gxly)
24
$4.8M
198.7K
36
Vectibix
39
$4.7M
$119.9K
37
Kyprolis
47
$4.5M
$94.9K
40
Asparlas (Calaspargase Pegol)
28
$4.3M
$155.1K
42
Rybrevant
11
$4.2M
$385.9K
43
Polivy (Polatuzumab vedotin-piiq)
28
$4M
$143.8K
46
Cyramza
32
$3.9M
$123.2K
48
5
Ultomiris
40
$16.4M
$409.1K
18
Hemlibra
22
$9.5M
$431.7K
30
Soliris
16
$5.3M
$332.1K
22
Romiplostim
53
$7.2M
$135.8K
Advate, Kogenate
15
$3.6M
$241.9K
44
8
Elevidys
4
$12.9M
$3.2M
11
Tepezza
35
$10.7M
$305.1K
14
Krystexxa
23
$10.2M
$441.7K
15
Lumizyme, Myozyme
10
$10.1M
$1M
20
Vyvgart
21
$8.6M
$408.45K
23
Zolgensma
4
$7.3M
$1.8M
27
Viltepso
6
$6.2M
$1.05M
Zynteglo
2
$5.6M
$2.8M
29
31
Privigen
63
$5.2M
$83.3K
38
Vyvgart Hytrulo
17
$4.6M
$270.4K
39
Nplate
40
$4.5M
$112.1K
Spinraza
11
$4.4M
$403.8K
41
Nexviazyme
7
$4.2M
$601.5K
44
Crysvita
10
$4.1M
$413.9K
45
Skyrizi (Risankizumab-rzaa)
93
$4M
$42.7K
47
Alprolix
5
$3.7M
$739.2K
49
Hemgenix
1
$3.5M
$3.5M
50
Brineura
1
$3.17M
$3.17M
48
Somatuline Depot
32
$3.16M
$98.9K
49
8
Elevidys
4
$12.9M
$3.22M
29
Zynteglo
2
$5.6M
$2.8M
Jemperli (Dostarlimab-gxly)
24
$4.8M
$198.7K
36
38
Vygart Hytrulo
17
$4.6M
$270.4K
Crysvita
10
$4.1M
$413.9K
45
Kadcyla
Interferes with the growth and spread of cancer cells in the body. Used in the treatment of breast cancer both early and those that have spread to other parts of the body (metastatic).
Primarily used in the treatment of:
Cancer
Member Count Year over Year
Total cost:
$142.8K
2025
2024
Injectable drug rank
#13
#14
Average cost:
$10.6M
Increase in member count from 2022 to 2025
50%
2013
fda approval year:

Rylaze
Used to treat acute lymphoblastic leukemia and lymphoblastic lymphoma in adults and children at least 1 month old who have become allergic to other forms of asparaginase such as Elspar, Oncaspar or Erwinase.
$506.1K
Average cost:
2024
#26
2025
#25
Injectable drug rank
Total cost:
$7.1M
Primarily used in the treatment of:
Cancer
Member Count Year over Year
fda approval year:
2021
Increase in member count from 2022 to 2025
80%

Uncategorized Drugs
Refers to several drugs that are new, have not yet been assigned a unique J-Code or drug class. These drugs may receive their own J-Code over time.
$5.9K
Average cost:
2023
#68
2024
#16
Injectable drug rank
Total cost:
$8.97M
Primarily used in the treatment of:
Varies
Member Count Year over Year
fda approval year:
VARIES
Increase in member count from 2023 to 2024
50%
