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Xtandi vs Calquence

Side-by-side drug price comparison from Medicare Part D data

Reviewed by DrugPrice Editorial Team · Updated

Verdict

Xtandi costs 8% less per claim than Calquence ($9331.00 vs $10105.00). Xtandi has a generic alternative available. Total Medicare spending: Xtandi at $4.1B vs Calquence at $2.9B.

MetricXtandiCalquence
Avg Cost per Claim
Average cost Medicare pays per prescription claim
$9,331*$10,105
Total Medicare Spending
Total Medicare Part D spending on this drug
$4.1B$2.9B
Total Claims438,000286,000
Year-over-Year Change
Price change from prior year (lower is better for patients)
9.4%*34.2%
Generic AvailableYesYes
ConditionCancerCancer
Total Beneficiaries46,00028,000

Xtandi costs 8% less per claim than Calquence ($9331.00 vs $10105.00). Xtandi has a generic alternative available. Total Medicare spending: Xtandi at $4.1B vs Calquence at $2.9B.

Explore More

The side-by-side above pulls the CMS Medicare Part D Drug Spending data data for both Xtandi and Calquence. What follows is the interpretation — which specific axes carry the most weight for Xtandi versus Calquence, and which differences are large enough to influence a real decision.

For households or analysts using this comparison as a decision input, the right framing is usually not "which is better" in aggregate but "which is better for the specific decision in front of you." CMS Medicare Part D Drug Spending data captures the raw data; the framing depends on whether the question is investment, residency, planning, or research.

Source: CMS Medicare Part D Spending, 2026.