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Medicaid Spending by Drug

Metadata Updated: January 19, 2024

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.

Access & Use Information

Public: This dataset is intended for public access and use. License: See this page for license information.

Downloads & Resources

References

https://data.cms.gov/resources/medicaid-spending-by-drug-methodology

Dates

Metadata Created Date January 25, 2022
Metadata Updated Date January 19, 2024
Data Update Frequency R/P1Y

Metadata Source

Harvested from Healthdata.gov

Additional Metadata

Resource Type Dataset
Metadata Created Date January 25, 2022
Metadata Updated Date January 19, 2024
Publisher Centers for Medicare & Medicaid Services
Maintainer
Identifier https://data.cms.gov/data-api/v1/dataset/be64fce3-e835-4589-b46b-024198e524a6/data-viewer
Data First Published 2021-12-22
Language en-US
Data Last Modified 2024-01-05
Category Medicaid
Public Access Level public
Data Update Frequency R/P1Y
Bureau Code 009:38
Metadata Context https://project-open-data.cio.gov/v1.1/schema/catalog.jsonld
Metadata Catalog ID https://healthdata.gov/data.json
Schema Version https://project-open-data.cio.gov/v1.1/schema
Catalog Describedby https://project-open-data.cio.gov/v1.1/schema/catalog.json
Data Quality True
Data Dictionary https://data.cms.gov/resources/medicaid-spending-by-drug-data-dictionary
Harvest Object Id ff539b3b-5371-4018-89cc-2045bbd43e67
Harvest Source Id 651e43b2-321c-4e4c-b86a-835cfc342cb0
Harvest Source Title Healthdata.gov
Homepage URL https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-spending-by-drug/medicaid-spending-by-drug
License https://www.usa.gov/government-works
Program Code 009:000
Related Documents https://data.cms.gov/resources/medicaid-spending-by-drug-methodology
Source Datajson Identifier True
Source Hash 7fe4ecb49bca943afad6d1fd71d8cc93fe4d0c82ddd76a9392ea00fc6fa27481
Source Schema Version 1.1
Temporal 2021-01-01/2021-12-31

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