data.cms.govHand-written summary
Medicare Part D Prescribers - by Geography and Drug
Part D prescriptions, including refills, and total drug cost for each drug, at the national and state level.
Freshness
- Last posted
- Period covered
- Jan 1, 2024 to Dec 31, 2024
- Update frequency
- Annually
Dates as CMS lists them in its catalog.
Before you use it
- Total drug cost includes ingredient cost, dispensing fees, sales tax and administration fees paid by the plan, the patient, government subsidies and other payers.
Columns 22
| Column | What it means | Type |
|---|---|---|
Geography LevelPrscrbr_Geo_Lvl | Identifies the level of geography that the data in the row has been aggregated. A value of 'State' indicates the data in the row is aggregated to a single state identified in the Referring Provider State column for a given HCPCS Code Level. A value of 'National' indicates the data in the row is aggregated across all states for a given HCPCS Code Level. | string |
Prescriber Geography CodePrscrbr_Geo_Cd | FIPS code of the referring provider state. This variable is blank when reported at the national level. | string |
Prescriber Geography DescriptionPrscrbr_Geo_Desc | The state name where the provider is located, as reported in NPPES. The values include the 50 United States, District of Columbia, U.S. territories, Armed Forces areas, Unknown and Foreign Country. Data aggregated at the National level are identified by the word 'National'. | string |
Brand NameBrnd_Name | The trademarked name of the drug filled. | string |
Generic NameGnrc_Name | A term referring to the chemical ingredient of a drug rather than the trademarked brand name under which the drug is sold. | string |
Total PrescribersTot_Prscrbrs | Number of unique prescribers of Medicare Part D claims. | number |
Total ClaimsTot_Clms | The number of Medicare Part D claims. This includes original prescriptions and refills. Aggregated records based on Tot_Clms fewer than 11 are not included in the data file. | number |
Total 30 Day FillsTot_30day_Fills | Number of Standardized 30-Day Fills, Including Refills. | number |
Total Drug CostTot_Drug_Cst | The aggregate drug cost paid for all associated claims. This amount includes ingredient cost, dispensing fee, sales tax, and any applicable vaccine administration fees and is based on the amounts paid by the Part D plan, Medicare beneficiary, government subsidies, and any other third-party payers. | number |
Total BeneficiariesTot_Benes | The total number of unique Medicare Part D beneficiaries with at least one claim for the drug. Counts fewer than 11 are suppressed and are indicated by a blank. | number |
GE65 Supress FlagGE65_Sprsn_Flag | A flag that indicates the reason the GE65_Tot_Clms, GE65_Tot_30day_Fills, GE65_Tot_Drug_Cst and GE65_Tot_Day_Suply variables are suppressed. | string |
GE65 Total ClaimsGE65_Tot_Clms | The number of Medicare Part D claims for beneficiaries age 65 and older. This includes original prescriptions and refills. A blank indicates the value is suppressed. See GE65_Bene_Sprsn_Flag regarding suppression of data. | number |
GE65 Total 30 Day FillsGE65_Tot_30day_Fills | The number of Medicare Part D standardized 30-day fills for beneficiaries age 65 and older.The standardized 30-day fill is derived from the number of days supplied on each Part D claim divided by 30. Standardized 30-day fill values less than 1.0 were bottom-coded with a value of 1.0 and standardized 30-day fill values greater than 12.0 were top-coded with a value of 12.0. If GE65_Tot_Clms is suppressed, this variable is suppressed. A blank indicates the value is suppressed. GE65_Bene_Sprsn_Flag regarding suppression of data. | number |
GE65 Total Drug CostGE65_Tot_Drug_Cst | The aggregate total drug cost paid for all associated claims for beneficiaries age 65 and older. This amount includes ingredient cost, dispensing fee, sales tax, and any applicable vaccine administration fees and is based on the amounts paid by the Part D plan, Medicare beneficiary, government subsidies, and any other third-party payers. If GE65_Tot_Clms is suppressed, this variable is suppressed. A blank indicates the value is suppressed. See GE65_Bene_Sprsn_Flag regarding suppression of data. | number |
GE65 Beneficary Supress FlagGE65_Bene_Sprsn_Flag | A flag indicating the reason the GE65_Tot_Benes variable is suppressed. | string |
GE65 Total BeneficariesGE65_Tot_Benes | The total number of unique Medicare Part D beneficiaries age 65 and older with at least one claim for the drug. A blank indicates the value is suppressed. See GE65_Bene_Sprsn_Flag regarding suppression of data. | number |
LIS Beneficary Cost ShareLIS_Bene_Cst_Shr | The aggregate total cost that beneficiaries using a drug, with a low-income subsidy, paid during the year. | number |
Non-LIS Beneficary Cost ShareNonLIS_Bene_Cst_Shr | The aggregate total cost that beneficiaries using a drug, with no low-income subsidy, paid during the year. | number |
Opioid Drug FlagOpioid_Drug_Flag | A flag indicating whether drugs in this Drug Name/ Generic Name combination are identified as an opioid drug. The list for opioids are based upon drugs included in the Medicare Part D Overutilization Monitoring System (OMS). The list originates from the Centers for Disease Control and Prevention. Please visit the Medicare Part D OMS site for additional information. | string |
Long Acting Opioid Drug FlagOpioid_LA_Drug_Flag | A flag indicating whether drugs in this Drug Name/ Generic Name combination are identified as an long-acting opioid drug. The list for long-acting opioids are based upon drugs included in the Medicare Part D Overutilization Monitoring System (OMS). Those drugs were then identified by the National Center for Injury Prevention and Control. CDC compilation of benzodiazepines, muscle relaxants, stimulants, zolpidem, and opioid analgesics with oral morphine milligram equivalent conversion factors, 2018 version. | string |
Antibiotic Drug FlagAntbtc_Drug_Flag | A flag indicating whether drugs in this Drug Name/ Generic Name combination are identified as an antibiotic drug. The list for antibiotics was created by identifying antibiotic subcategories with the exclusion of the following types of products: tuberculosis agents, antimalarials, topical agents (topical ophthalmic, optic, vaginal, and dermatological agents, etc.). | string |
Antipsychotic Drug FlagAntpsyct_Drug_Flag | A flag indicating whether drugs in this Drug Name/ Generic Name combination are identified as an antipsychotic drug. The list for antipsychotics was created by identifying antipsychotic subcategories, including first and second generation antipsychotics, as well as antipsychotics included in combination with other drugs, (e.g., OLANZAPINE/FLUOXETINE HCL). | string |
No column matches that filter.
At a glance
- Catalog
- data.cms.gov
- Publisher
- Office of Enterprise Data and Analytics (OEDA)
- Rows
- 117,661
- Columns
- 22
- State column
- None found
API
Free, no key needed. This request returns the first 10 rows as JSON:
https://data.cms.gov/data-api/v1/dataset/c8ea3f8e-3a09-4fea-86f2-8902fb4b0920/data?size=10
Versions 12
The newest version is the one linked above. Older releases stay on the official site.
- 2024-12-01posted May 21, 2026
- 2023-12-31posted Apr 24, 2025
- 2022-12-30posted Jun 4, 2024
- 2021-12-31posted Oct 25, 2023
- 2020-12-31posted May 21, 2024
- 2019-12-31posted May 10, 2023
- 2018-12-31posted May 10, 2023
- 2017-12-31posted May 10, 2023
Show 4 older versions
- 2016-12-31posted Jan 30, 2024
- 2015-12-31posted May 10, 2023
- 2014-12-31posted May 10, 2023
- 2013-12-31posted May 10, 2023
CMS's description
The Medicare Part D Prescribers by Geography and Drug dataset contains information on prescription drugs prescribed by individual physicians and other health care providers and paid for under the Medicare Part D Prescription Drug Program. For each drug, the dataset includes the total number of prescriptions that were dispensed, which include original prescriptions and any refills, and the total drug cost. The total drug cost includes the ingredient cost of the medication, dispensing fees, sales tax, and any applicable administration fees and is based on the amount paid by the Part D plan, Medicare beneficiary, government subsidies, and any other third-party payers.
Methodology and other documents from CMS:
The summary at the top was written by hand from this description. Record id cms:c8ea3f8e-3a09-4fea-86f2-8902fb4b0920. This record as JSON.