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Patient access to affordable pharmaceuticals is vital to improving care outcomes, managing chronic illness, and keeping healthcare costs down. It is vital that patients understand the necessity of taking medications as prescribed and remain invested in their own care. Pharmacists are increasingly being drawn into discussions of patient engagement, as they are likely see patients more often than providers in the course of refilling prescription medications.

We compiled a list of the top 25 hospitals by total pharmacy costs. Memorial Sloan Kettering Cancer Center reported the highest pharmacy costs at over $754 million. The hospital saw spending growth of 80.6 percent from 2016 to 2017, and a growth of 68.8 percent from 2014 to 2017. University of Texas MD Anderson Cancer Center came in second for pharmacy spending at $630 million.

Top 25 Hospitals by Highest Pharmacy Spend

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Hospital NamePharmacy CostsNet Patient RevenueTotal DischargesExplore This Dataset
1.Memorial Sloan Kettering Cancer Center (NY)$754,794,624$2,922,980,827 23,561Explore This Profile
2.University of Texas MD Anderson Cancer Center (TX)$630,575,620$3,480,505,919 28,962Explore This Profile
3.Dana Farber Cancer Institute (MA)$457,418,299$1,130,077,403 1,304Explore This Profile
4.Duke University Hospital (NC)$332,798,924$2,339,265,283 42,469Explore This Profile
5.University of Kansas Hospital (KA)$328,490,947$1,975,125,402 39,595Explore This Profile
6.Strong Memorial Hospital (NY)$309,712,416$1,936,245,333 38,683Explore This Profile
7.NewYork-Presbyterian Hospital at Weill Cornell Medical Center (NY)$295,884,010$5,340,902,266 102,910Explore This Profile
8.University of Miami Hospital and Clinics - Sylvester Comprehensive Cancer Center (FL)$265,801,951$1,268,260,646 11,599Explore This Profile
9.UCSF Helen Diller Medical Center at Parnassus Heights (CA)$255,135,589$3,620,962,130 35,476Explore This Profile
10.James Cancer Hospital and Solove Research Institute (OH)$252,979,503$1,406,725,017 14,969Explore This Profile
11.UK Albert B Chandler Hospital (KY)$244,157,038 $1,433,168,657 40,909Explore This Profile
12.Moffitt Cancer Center (FL)$240,061,344 $983,129,857 9,085Explore This Profile
13.Northwestern Memorial Hospital (IL)$227,559,304 $1,745,967,766 45,506Explore This Profile
14.City of Hope Helford Clinical Research Hospital (CA)$225,572,554 $1,116,914,068 6,595Explore This Profile
15.UC San Diego Medical Center - Hillcrest (CA)$225,558,973 $1,842,794,494 30,647Explore This Profile
16.Montefiore Hospital - Moses Campus (NY)$215,655,244 $2,728,344,000 86,865Explore This Profile
17.UMass Memorial Medical Center (MA)$215,404,032 $1,442,649,404 36,560Explore This Profile
18.Hackensack University Medical Center (NJ)$210,911,917 $1,567,145,753 35,198Explore This Profile
19.Parkland Health and Hospital System (TX)$209,559,272 $803,598,250 51,475Explore This Profile
20.The Johns Hopkins Hospital (MD)$202,050,960 $2,041,319,447 45,086Explore This Profile
21.The University of Chicago Medical Center (IL)$196,988,322 $1,683,367,000 30,898Explore This Profile
22.AdventHealth Orlando (FL)$196,189,639 $3,432,794,596 127,401Explore This Profile
23.Brigham and Womens Hospital (MA)$194,598,657 $2,257,366,198 41,881Explore This Profile
24.University Hospital (WI)$187,802,795 $1,861,601,000 31,130Explore This Profile
25.University of Maryland Medical Center (MA)$182,182,582 $1,460,597,672 27,599Explore This Profile

Fig 1. Data from Definitive Healthcare based on Medicare Cost Report, covering data until Dec. 31, 2017. Pharmacy spend includes cost of drugs and pharmacy supplies requested by patient care departments as well as drugs charged to patients.