Pharmacy Pricing
The pharmacy pricing data is now available on Data.Medicaid.gov which allows you to view, filter, sort, visualize and share this data online. Data.Medicaid.gov also allows you to export the data in a variety of formats including Excel.
Federal Upper Limits (FUL)
Below are the links to the Affordable Care Act calculated in accordance with the Medicaid Covered Outpatient Drug final regulation with comment. States will have up to 30 days from the April 1, 2016 effective date to implement the FULs. Thereafter, the FULs will be updated monthly, and will be effective on the first date of the month following the publication of the update. States will, likewise, have up to 30 days after the effective date to implement the FULs. The Affordable Care Act FUL Methodology and Data Elements Guide [PDF] and more information on the FUL program can be found on the Federal Upper Limits page.
This data will be available in legacy format (ZIP/Excel) until February 2017 on the Federal Upper Limits legacy page.
| Type | Year | Month | Date |
|---|---|---|---|
| Type | Year | Month | Date |
National Average Drug Acquisition Cost
Below are links to the National Average Drug Acquisition Cost (NADAC) weekly and the weekly comparison data. Please note that the NADAC data is updated on a weekly basis. Each month, new data is posted to reflect findings from the previous month’s survey results incorporating the weekly price changes that have occurred in the interim weeks before the next monthly NADAC file. For more information on the fields in the NADAC data, please see the NADAC Data Field Definitions [PDF]. More information on the NADAC can be found on the Survey of Retail Prices page.
| Type | Year | Month | Date |
|---|---|---|---|
| Type | Year | Month | Date |
NADAC Comparison Data
To easily identify and understand the pricing changes that occur each week, we are posting the NADAC Weekly Comparison to accompany the weekly NADAC data. This comparison identifies the drug products with current NADAC rates that are replaced with new NADAC rates. Other changes (for example NDC additions and terminations) to the NADAC data are not reflected in this comparison. The explanation of the data fields used in the weekly comparison are further defined in the NADAC Week to Week Data Field Definitions [PDF].
| Type | Year | Month | Date |
|---|---|---|---|
| Type | Year | Month | Date |