Medicaid Spending by Drug

Description

The Medicaid by Drug dataset presents information on spending for covered outpatient drugs prescribed to beneficiaries enrolled in Medicaid by physicians and other healthcare professionals.    The dataset focuses on average spending per dosage unit and change in average spending per dosage unit over time. Units refer to the drug unit in the lowest dispensable amount. It also includes spending information for manufacturer(s) of the drugs as well as consumer-friendly information of drug uses and clinical indications.   Drug spending metrics for Medicaid represent the total amount reimbursed by both Medicaid and non-Medicaid entities to pharmacies for the drug. Medicaid drug spending contains both the Federal and State reimbursement and is inclusive of any applicable dispensing fees. In addition, this total is not reduced or affected by Medicaid rebates paid to the states.

Resources

Name Format Description Link
21 https://data.cms.gov/data-api/v1/dataset/512a1a54-0d43-4aa2-adb6-3f1d19e9a917/data
21 latest https://data.cms.gov/data-api/v1/dataset/be64fce3-e835-4589-b46b-024198e524a6/data
8 DSD_MCD_RY24_P06_V20_D22_BGM.csv https://data.cms.gov/sites/default/files/2024-03/ec5c3a56-84b9-46e6-8f28-5900349821b9/DSD_MCD_RY24_P06_V20_D22_BGM.csv
21 https://data.cms.gov/data-api/v1/dataset/d5ac0142-3829-4a16-bf2d-c860b023c49e/data
8 DSD_MCD_RY25_P06_V20_D23_BGM.csv https://data.cms.gov/sites/default/files/2025-05/113322af-a725-4df3-95a6-dfeb03756160/DSD_MCD_RY25_P06_V20_D23_BGM.csv

Tags

  • drugs
  • medicaid
  • all-other-provider-care-types

Topics

Categories