Medicare Part D spending · FDA facts · help paying
Trintellix (vortioxetine): what Medicare Part D spends and the dated federal facts we hold
CMS's Medicare Part D spending dataset reports gross spending on Trintellix of $392.49 million in 2024, across 610,008 claims and 100,706 beneficiaries. A program that covered this drug has changed its terms; the details and the source are below.
When could a generic arrive
Each date below is an upper bound from listed patent and exclusivity dates, not a forecast of when a generic will launch. Basis: latest of all listed patent and exclusivity expiries in this Orange Book edition; an upper bound from listed dates only, not a forecast of launch (litigation, settlements, delisting, tentative approvals and 180-day status are not modelled).
| Application | Product | Latest listed patent expiry | Latest listed exclusivity expiry | Latest of the two | Set by |
|---|---|---|---|---|---|
| NDA204447 | Trintellix | September 21, 2032 | February 23, 2027 | September 21, 2032 | patent 9278096 with its pediatric extension; 88 dated entries listed |
Source: FDA Orange Book data files, edition September 2026, read November 7, 2026; patent listings are as submitted by applicants and not verified by FDA. FDA data file.
Medicare Part D spending
CMS's Medicare Part D spending dataset reports gross spending on Trintellix of $392.49 million in 2024, across 610,008 claims and 100,706 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 | $392.49 million | 610,008 | 100,706 | $643 |
| 2023 | $389.71 million | 602,887 | 98,771 | $646 |
| 2022 | $366.78 million | 606,443 | 97,420 | $605 |
| 2021 | $337.76 million | 602,952 | 98,289 | $560 |
| 2020 | $314.97 million | 614,838 | 97,196 | $512 |
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 2 states with the largest reimbursement are shown. 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 |
|---|---|---|---|
| VT | 104 | $62,166 | All record types |
| SD | 88 | $48,205 | All record types |
A state missing from the table means its figures were suppressed or not reported, not zero use. 152 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 $209.62 million for Trintellix 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 | $209.62 million | 401,382 |
| 2023 | $211.89 million | 426,519 |
| 2022 | $203.80 million | 435,268 |
| 2021 | $196.82 million | 441,234 |
| 2020 | $162.63 million | 390,986 |
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
VA national formulary
The VA's national formulary files list the ingredient vortioxetine, which covers every maker's product with that ingredient, not only Trintellix. Each row is a VA national drug file entry and its status.
| VA entry | Status | Active NDCs |
|---|---|---|
| VORTIOXETINE TAB,ORAL | Non-formulary | 9 |
Source: VA Pharmacy Benefits Management national formulary (va-formulary-2026-09), read November 7, 2026. VA formulary page.
Where help paying exists
Offers the program pages state
- Manufacturer self-pay price
The Trintellix page states a price without using insurance of $299 for a 30-day prescription and a list price of $540.00 for a 30-day prescription as of 01/01/2026. The page states eligibility requirements apply; no end date is stated for this price.
Read November 7, 2026; quote matched against the saved page text. - Manufacturer savings card
The Trintellix page states a Savings Card for commercially insured patients aged 18 and older: as little as $10 for a 30- or 90-day prescription, with savings of up to $100 per 30-day or $300 per 90-day prescription and maximum total savings of $1,300 over one year. The program will end on December 31, 2026.
Limited time: The Savings Card program will end on December 31, 2026.
Read November 7, 2026; quote matched against the saved page text.
No program in our finder currently lists this drug as open to new patients.
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 August 23, 2023 (Efficacy).
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.
Questions
Does Medicare have a negotiated price for Trintellix?
The CMS negotiated-price file we read does not list Trintellix, 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 Trintellix?
No program in our finder currently lists it as open to new patients. Takeda states that the TRINTELLIX Savings Card program will end on December 31, 2026, and that this will be the final day patients may enroll in and redeem the Savings Card at the pharmacy.
When could a generic version of Trintellix arrive?
For Trintellix, the FDA's Orange Book (edition September 2026) lists these latest patent or exclusivity expiry dates by application: NDA204447, September 21, 2032. Each date is an upper bound from listed patent and exclusivity dates, not a forecast of when a generic will launch. Basis: latest of all listed patent and exclusivity expiries in this Orange Book edition; an upper bound from listed dates only, not a forecast of launch (litigation, settlements, delisting, tentative approvals and 180-day status are not modelled).
How much does Medicare Part D spend on Trintellix?
CMS's Medicare Part D spending dataset reports gross spending on Trintellix of $392.49 million in 2024, across 610,008 claims and 100,706 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/trintellix.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. 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.