State Drug Utilization Data

States report drug utilization data for covered outpatient drugs that are paid for by state Medicaid Agencies since the start of the Medicaid Drug Rebate Program. For additional information on State Drug Utilization Data including the data update schedule visit the Medicaid Drug Rebate Program Data page. For an overview of Medicaid Prescription Drug Programs visit the Prescription Drugs page. Additional information about Medicaid drug utilization and spending for covered outpatient drugs is available through the CMS 2015 Medicaid Drug Spending Dashboard.

The data includes state, drug name, National Drug Code, number of prescriptions, and dollars reimbursed. As CMS is obligated by the federal Privacy Act, 5 U.S.C. Section 552a and the HIPAA Privacy Rule, 45 C.F.R Parts 160 and 164, to protect the privacy of individual beneficiaries and other persons, all direct identifiers have been removed and data that are less than eleven (11) counts are suppressed. A checkmark in the "Suppression Used" column notes suppressed data. CMS applies counter or secondary suppression in cases where only one prescription is suppressed for primary reasons, e.g. one prescription in a state. Also, if one sub-group (e.g. number of prescription) is suppressed, then the other sub-group is suppressed.