Medicare Part D spending · FDA facts · help paying
Simvastatin: what Medicare Part D spends and the dated federal facts we hold
CMS's Medicare Part D spending dataset reports gross spending on Simvastatin of $126.43 million in 2024, across 15,052,578 claims and 3,668,480 beneficiaries. 1 assistance program lists simvastatin, each with its income ceiling and when we read it. The FDA's enforcement reports name this drug's packages in 10 recall entries.
Medicare Part D spending
CMS's Medicare Part D spending dataset reports gross spending on Simvastatin of $126.43 million in 2024, across 15,052,578 claims and 3,668,480 beneficiaries. CMS's dataset states spending is gross drug cost and does not reflect manufacturers' rebates or other price concessions. Spending is the total paid by Medicare, plans and beneficiaries for the drug's claims, not what a patient pays.
| Year | Gross spending | Claims | Beneficiaries | Average spending per claim |
|---|---|---|---|---|
| 2024 | $126.43 million | 15,052,578 | 3,668,480 | $8.40 |
| 2023 | $172.94 million | 15,950,715 | 3,917,152 | $10.84 |
| 2022 | $154.07 million | 17,335,576 | 4,235,614 | $8.89 |
| 2021 | $163.85 million | 18,739,577 | 4,553,435 | $8.74 |
| 2020 | $186.12 million | 20,402,774 | 4,830,073 | $9.12 |
Source: CMS Medicare Part D spending by drug (data-year-2024, modified 2026-06-25), read November 7, 2026. CMS dataset page. All manufacturers combined; the figures are a drug-level aggregate of claims and say nothing about a formulary or coverage.
Medicaid use by state
CMS's State Drug Utilization Data records, for 2025, how many prescriptions each state's Medicaid program paid for under this drug's packages and what it reimbursed. The 10 states with the largest reimbursement are shown of 42 with data. Reimbursement is before the rebates manufacturers pay states, so it is not a net cost and not a price a patient pays.
| State | Medicaid-paid prescriptions | Medicaid reimbursed | Covers |
|---|---|---|---|
| KY | 1,525 | $16,320 | Fee-for-service only |
| WA | 2,214 | $11,750 | Fee-for-service only |
| NY | 975 | $10,869 | Fee-for-service only |
| MN | 581 | $6,809 | Fee-for-service only |
| AR | 603 | $6,562 | Fee-for-service only |
| AZ | 551 | $5,247 | Fee-for-service only |
| CO | 434 | $4,592 | Fee-for-service only |
| MA | 250 | $4,278 | Fee-for-service only |
| ME | 306 | $3,445 | All record types |
| CA | 210 | $2,856 | All record types |
Where the publisher suppresses small managed-care cells, a state's figure covers fee-for-service claims only and understates use (41 state and package figures are marked that way here). A state missing from the table means its figures were suppressed or not reported, not zero use. 1230 older-year figures are held and left out of the table.
Source: CMS State Drug Utilization Data (State Drug Utilization Data 2025, modified 2026-07-13T15:28:32Z), read November 7, 2026. CMS dataset page. State-reported data compiled by CMS; aggregate by state and package, no provider or patient data.
Medicaid spending
CMS's Medicaid spending dataset reports $15.70 million for Simvastatin in 2024. CMS's dataset states spending includes Federal and State reimbursement and dispensing fees and is not reduced by Medicaid rebates paid to the states. Spending is what Medicaid paid, not what a patient pays.
| Year | Spending | Claims |
|---|---|---|
| 2024 | $15.70 million | 1,742,027 |
| 2023 | $17.71 million | 2,149,879 |
| 2022 | $17.14 million | 2,195,821 |
| 2021 | $16.69 million | 2,658,802 |
| 2020 | $17.69 million | 3,092,542 |
Source: CMS Medicaid spending by drug (data-year-2024, modified 2026-06-25), read November 7, 2026. CMS dataset page. A national drug-level aggregate; it says nothing about any state's coverage rules.
Federal formulary status
TRICARE
The Defense Health Agency's TRICARE formulary files include 160 packages of Simvastatin in the uniform formulary class ANTILIPIDEMICS-1. Each row counts packages by the list that names them and the status it gives. A status is a TRICARE listing, not a statement about what a plan will pay for you.
| List | Status | Packages |
|---|---|---|
| Basic/Extended Core Formulary | BASIC CORE | 160 |
Source: TRICARE formulary files (tricare-formulary-2026-10), read November 7, 2026. TRICARE formulary page.
VA national formulary
The VA's national formulary files list the ingredient simvastatin, which covers every maker's product with that ingredient, not only Simvastatin. Each row is a VA national drug file entry and its status.
| VA entry | Status | Active NDCs |
|---|---|---|
| SIMVASTATIN SUSP,ORAL | Non-formulary | 2 |
| SIMVASTATIN TAB | National Formulary | 243 |
Source: VA Pharmacy Benefits Management national formulary (va-formulary-2026-09), read November 7, 2026. VA formulary page.
Where help paying exists
Programs in our finder that list simvastatin. Each shows its income ceiling, when we read it and whether we checked it against the program's own document. Eligibility is decided by the program, not by us.
- Mark Cuban Cost Plus Drugs discount
No income limit in our data
Figure not yet re-read on the program's own page.
Check where your income sits against each ceiling: open the assistance finder. See what has changed and when we last verified each program on the program status board.
Label changes
The FDA file lists no non-manufacturing label change for these applications since November 11, 2025. The most recent one it lists is dated March 3, 2025 (Labeling).
Source: FDA Drugs@FDA data file, read November 7, 2026. Dates are the FDA action dates; the documents are on FDA's own site. FDA data file. All recent changes across these drugs: label changes feed.
Safety notices
FDA enforcement report entries that name a package of Simvastatin by its NDC: 10 entries, newest first. FDA assigns each a class by health risk: Class I is the most serious and Class III the least. An entry records what the recalling firm reported and FDA classified; it is not advice about any package you hold.
| Reported | Class | Status | Recalling firm | Reason (shortened) | Packages named |
|---|---|---|---|---|---|
| May 10, 2023D-0558-2023 | Class II | Terminated | PD-Rx Pharmaceuticals, Inc. | CGMP deviations. | 2 |
| May 10, 2023D-0561-2023 | Class II | Terminated | PD-Rx Pharmaceuticals, Inc. | CGMP deviations. | 2 |
| March 8, 2023D-0408-2023 | Class II | Terminated | Accord Healthcare, Inc. | CGMP Deviations: recalling drug products following an FDA inspection. | 15 |
| March 8, 2023D-0409-2023 | Class II | Terminated | Accord Healthcare, Inc. | CGMP Deviations: recalling drug products following an FDA inspection. | 15 |
| March 8, 2023D-0410-2023 | Class II | Terminated | Accord Healthcare, Inc. | CGMP Deviations: recalling drug products following an FDA inspection. | 15 |
| March 8, 2023D-0411-2023 | Class II | Terminated | Accord Healthcare, Inc. | CGMP Deviations: recalling drug products following an FDA inspection. | 15 |
| March 8, 2023D-0412-2023 | Class II | Terminated | Accord Healthcare, Inc. | CGMP Deviations: recalling drug products following an FDA inspection. | 15 |
| April 22, 2020D-1234-2020 | Class II | Terminated | Aurobindo Pharma USA Inc. | CGMP Deviations: Products were manufactured in a processing area in which water leakage was observed | 34 |
| September 4, 2019D-1842-2019 | Class III | Terminated | Aurobindo Pharma USA Inc. | Labeling; Incorrect or Missing Lot and/or Exp Date; some bottles labeled with lot number 05318054B instead of 05318034B | 34 |
| January 24, 2018D-0223-2018 | Class III | Terminated | Hetero Labs, Ltd. - Unit III | Presence of foreign substance: metallic razor blade was found in one bottle. | 20 |
Source: openFDA drug enforcement reports, file read November 7, 2026. openFDA data file. All recent recalls across these drugs: drug recalls feed.
Questions
Does Medicare have a negotiated price for Simvastatin?
The CMS negotiated-price file we read does not list Simvastatin, so this page shows no negotiated price. A drug appears in that file only when CMS selects it for negotiation, and not being listed says nothing about what it costs a patient.
Is there help paying for Simvastatin?
1 assistance program lists it in our finder. Eligibility depends on income, coverage and the program's current rules; each program's own page decides.
How much does Medicare Part D spend on Simvastatin?
CMS's Medicare Part D spending dataset reports gross spending on Simvastatin of $126.43 million in 2024, across 15,052,578 claims and 3,668,480 beneficiaries. CMS's dataset states spending is gross drug cost and does not reflect manufacturers' rebates or other price concessions. Spending is the total paid by Medicare, plans and beneficiaries for the drug's claims, not what a patient pays.
For developers: this drug as data
One call returns the generic-entry upper bound, label history, recalls, trials, assistance and Part D spending, and where facts exist the FDA safety program (REMS), DEA schedule, orphan designations, safety notices and Medicaid use by state, each with receipts.
Example file: https://omnirx.org/api/v1/dossier/simvastatin.json
The licence page sets out what a data licence covers, and the API page documents these files.
Evaluation files with receipts; contract may change; not clinical advice.
Sources and terms. This drug is not in the CMS negotiated-price file, so no price source is used. Program details read from each program's own pages; CMS Medicare Part D spending by drug; CMS Medicaid spending by drug; TRICARE and VA formulary files; FDA Drugs@FDA and Orange Book data files; openFDA drug enforcement reports. Figures are stored with their sources in the OmniRx library (edition 2026-11). Free to cite with attribution. Not medical, legal or financial advice. Report an error through the contact page. Licence the data.