VERTEX PHARMACEUTICALS INCORPORATED

• VERTEX PHARMACEUTICALS INCORPORATED $8,400,000 In-house, the client's own filings · 7 filings
• TARPLIN, DOWNS & YOUNG, LLC $560,000 Outside firm · 7 filings
• TIBER CREEK GROUP $460,000 Outside firm · 7 filings
• CGCN GROUP, LLC $445,000 Outside firm · 7 filings
• AVENUE SOLUTIONS $420,000 Outside firm · 7 filings
• MARSHALL & POPP, LLC $400,000 Outside firm · 8 filings
• STANTON PARK GROUP $350,000 Outside firm · 7 filings
• EMPIRE CONSULTING GROUP $300,000 Outside firm · 7 filings
• MCLARTY INBOUND LLC $290,000 Outside firm · 9 filings
• CROSSROADS STRATEGIES, LLC $250,000 Outside firm · 7 filings
• ALB SOLUTIONS $150,000 Outside firm · 4 filings
• HOLLAND & KNIGHT LLP $140,000 Outside firm · 7 filings
• SALT POINT STRATEGIES $140,000 Outside firm · 6 filings
• ALSTON & BIRD LLP $120,000 Outside firm · 4 filings

Spend per registrant: fees an outside firm reported, or the costs the client reported for lobbying in-house. The rows add up to the total above.

• H.R. 1227
  Alternatives to PAIN Act
  50 filings
• S. 475
  Alternatives to PAIN Act
  41 filings
• S. 864
  HELP Copays Act
  7 filings
• H.R. 1414
  Cameron’s Law
  6 filings
• H.R. 1518
  New Era of Preventing End-Stage Kidney Disease Act
  6 filings
• H.R. 7142
  Alternatives to PAIN Act
  5 filings
• S. 3832
  Alternatives to PAIN Act
  5 filings
• H.R. 6423
  HELP Copays Act
  4 filings
• S. 375
  Transition-to-Success Mentoring Act
  3 filings
• H.R. 1
  One Big Beautiful Bill Act
  2 filings
• H.R. 1672
  Maintaining Investments in New Innovation Act
  2 filings
• H.R. 2484
  Seniors’ Access to Critical Medications Act of 2025
  2 filings
• H.R. 3838
  Streamlining Procurement for Effective Execution and Delivery and National Defense Authorization Act for Fisc…
  2 filings
• H.R. 946
  ORPHAN Cures Act
  2 filings
• S. 2296
  National Defense Authorization Act for Fiscal Year 2026
  2 filings
• H. Con. Res. 14
  Establishing the congressional budget for the United States Government for fiscal year 2025 and setting forth…
  1 filing
• H.R. 1968
  Full-Year Continuing Appropriations and Extensions Act, 2025
  1 filing
• S. 1862
  ORPHAN Cures Act
  1 filing
• S. 891
  Bipartisan Health Care Act
  1 filing

• 2026 $5,260,000 42 filings
• 2025 $7,165,000 52 filings

• Health Issues 61
• Medicare/Medicaid 43
• Budget/Appropriations 19
• Taxation/Internal Revenue Code 15
• Trade (domestic/foreign) 15
• Pharmacy 13
• Defense 10
• Medical/Disease Research/Clinical Labs 7
• Veterans 4
• District of Columbia 1

The count is how many filings named that issue area. A filing reports one lump figure covering every issue on it, so the money above cannot be split between them.

• HOUSE OF REPRESENTATIVES 80
• SENATE 80
• Health & Human Services, Dept of (HHS) 30
• White House Office 26
• Centers For Medicare and Medicaid Services (CMS) 21
• Food & Drug Administration (FDA) 12
• U.S. Trade Representative (USTR) 8
• Congressional Budget Office (CBO) 7
• Office of Management & Budget (OMB) 7
• Commerce, Dept of (DOC) 5
• Vice President of the U.S. 5
• Executive Office of the President (EOP) 4
• Natl Economic Council (NEC) 3
• State, Dept of (DOS) 2
• Patent & Trademark Office (PTO) 1