Medicines gross spend

by millions, in 2023/2024 financial year.

Rank Medicine Therapeutic group 2024 ($million)
1 COVID-19 treatments and vaccines Anitvirals, vaccinations  $126.5
2 Elexacaftor with tezacaftor, ivacaftor and ivacaftor Mucolytics $122.1
3 Pembrolizumab Immunosuppressants  $100.8
4 Emicizumab Antifibrinolytics, haemostatics, and local sclerosants  $59.6
5 Adalimumab Immunosuppressants  $54.7
6 Lenalidomide Chemotherapeutic agents  $44.7
7 Budesonide with eformoterol  Inhaled long-acting beta-adrenoceptor agonists  $43.8
8 Dabigatran Antithrombotic agents  $37.4
9 Infliximab Immunosuppressants  $36.7
10 Insulin glargine Diabetes  $35.5
11 Meningococcal B multicomponent vaccine  Vaccinations  $33.6
12 Sacubitril with valsartan Agents affecting the renin-angiotensin system  $33.0
13 Palbociclib Chemotherapeutic agents  $32.8
14 Abiraterone acetate  Endocrine therapy  $32.2
15 Secukinumab  Immunosuppressants $31.6
16 Aflibercept Immunosuppressants $31.1
17 Glecaprevir and pibrentasvir  Antivirals  $30.8
18 Empagliflozin Diabetes $30.8
19 Dulaglutide  Diabetes $26.7
20 Etanercept Immunosuppressants $25.9
    Total $970.3
  • Medicines purchased by hospitals (worth $145 million in 2023/24) are excluded
  • Gross spend is shown in millions NZD, is exclusive of GST, and is prior to the application of rebates and discounts
  • The total gross spend for 2023/24 was $2.511 million, and the top 20 medicines account for 39% of the total
  • Medicines are by chemical, not by brand
  • COVID-19 treatments and vaccines are aggregated for confidentiality