Medicaid Spending by Drug

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.

Data and Resources

Field Value
accessLevel public
accrualPeriodicity R/P1Y
bureauCode {009:38}
catalog_@context https://project-open-data.cio.gov/v1.1/schema/catalog.jsonld
catalog_@id https://healthdata.gov/data.json
catalog_conformsTo https://project-open-data.cio.gov/v1.1/schema
catalog_describedBy https://project-open-data.cio.gov/v1.1/schema/catalog.json
dataQuality true
describedBy https://data.cms.gov/resources/medicaid-spending-by-drug-data-dictionary
identifier https://data.cms.gov/data-api/v1/dataset/be64fce3-e835-4589-b46b-024198e524a6/data-viewer
issued 2021-12-22
landingPage https://data.cms.gov/summary-statistics-on-use-and-payments/medicare-medicaid-spending-by-drug/medicaid-spending-by-drug
language {en-US}
license https://www.usa.gov/government-works
modified 2025-05-29
programCode {009:000}
publisher Centers for Medicare & Medicaid Services
references {https://data.cms.gov/resources/medicaid-spending-by-drug-methodology}
resource-type Dataset
source_datajson_identifier true
source_hash 6e217e9c2601a3e0679d4bcdb484a5d63e1abb2331352ba34ffc6ee4dd578ef4
source_schema_version 1.1
temporal 2023-01-01/2023-12-31
theme {Medicaid}
Groups
  • AmeriGEOSS
  • National Provider
  • North America
Tags
  • AmeriGEO
  • AmeriGEOSS
  • CKAN
  • GEO
  • GEOSS
  • National
  • North America
  • United States
  • all-other-provider-care-types
  • drugs
  • medicaid
isopen False
license_id other-license-specified
license_title other-license-specified
maintainer CMS Drug Spending - OEDA
maintainer_email IPAG_Data_Products@cms.hhs.gov
metadata_created 2025-09-23T14:20:42.098565
metadata_modified 2025-09-23T14:20:42.098572
notes 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.
num_resources 3
num_tags 11
title Medicaid Spending by Drug