Xtandi vs Skyrizi
Side-by-side drug price comparison from Medicare Part D data
Verdict
Skyrizi costs 52% less per claim than Xtandi ($4475.00 vs $9331.00). Xtandi has a generic alternative available. Total Medicare spending: Xtandi at $4.1B vs Skyrizi at $2.3B.
| Metric | Xtandi | Skyrizi |
|---|---|---|
| Avg Cost per Claim Average cost Medicare pays per prescription claim | $9,331 | $4,475* |
| Total Medicare Spending Total Medicare Part D spending on this drug | $4.1B | $2.3B |
| Total Claims | 438,000 | 524,000 |
| Year-over-Year Change Price change from prior year (lower is better for patients) | 9.4%* | 42.8% |
| Generic Available | Yes | No |
| Condition | Cancer | Autoimmune Diseases |
| Total Beneficiaries | 46,000 | 78,000 |
Skyrizi costs 52% less per claim than Xtandi ($4475.00 vs $9331.00). Xtandi has a generic alternative available. Total Medicare spending: Xtandi at $4.1B vs Skyrizi at $2.3B.
Explore More
The side-by-side above pulls the CMS Medicare Part D Drug Spending data data for both Xtandi and Skyrizi. What follows is the interpretation — which specific axes carry the most weight for Xtandi versus Skyrizi, 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.