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Table 3 Expenditure on the top 10 orphan medicinal products (by total cost) for the periods 2009/10–2019/20, and 2014/15–2019/20

From: Costs of orphan medicinal products: longitudinal analysis of expenditure in Wales

Expenditure 2009/10 to 2019/20a

Expenditure 2014/15 to 2019/20

Orphan medicine

Cost (£)

(% total orphan spend)

Orphan medicine

Cost (£)

(% total orphan spend)

lenalidomide

49,997,279

13.29

eculizumab

48,037,137

15.00

eculizumab

48,060,011

12.78

lenalidomide

36,455,658

11.39

ivacaftor

34,026,894

9.05

ivacaftor

32,887,314

10.27

imatinib mesilate

26,171,612

6.96

imatinib mesilate

18,411,191

5.75

sunitinib malate

18,899,422

5.02

ibrutinib

12,053,813

3.77

nilotinib

13,092,369

3.48

nilotinib

11,401,227

3.56

azacitidine

12,976,966

3.45

azacitidine

9,922,398

3.10

ibrutinib

12,053,813

3.20

sunitinib malate

8,376,401

2.62

romiplostim

8,052,131

2.14

daratumumab

7,614,869

2.38

daratumumab

7,614,869

2.02

romiplostim

6,659,175

2.08

  1. a CASPA and WHSSC data not available prior to 2014/15