Medicare Part D Spending by Drug
Medicare Part D spending by drug, with average spending per dosage unit, change over time, manufacturers and plain language drug uses.
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
- Spending is gross drug cost. It does not reflect manufacturer rebates or other price concessions, which CMS is not allowed to disclose.
Columns 46
| Column | What it means | Type |
|---|---|---|
Brand NameBrnd_Name | The name of the drug filled. This includes both brand names (drugs that have a trademarked name) and generic names (drugs that do not have a trademarked name). ' * ' indicates that the average spending per dosage unit reflects multiple routes of administration of the drug (e.g., intravenous, subcutaneous) which individually may have different unit pricing. Additional information regarding calculation of spending per unit can be found in the methodology document. | 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 |
Number of ManufacturersTot_Mftr | Number of manufacturers for each drug. | number |
ManufacturerMftr_Name | Name of the manufacturer of the drug. | string |
2020 Total SpendingTot_Spndng_2020 | Aggregate drug spending for the Medicare Part D program during the benefit year. | number |
2020 Total Dosage UnitsTot_Dsg_Unts_2020 | The sum of the dosage units of medication dispensed across the calendar year (e.g. number of tablets, grams, milliliters or other units). Unit refers to the drug unit in the lowest dispensable amount. | number |
2020 Total ClaimsTot_Clms_2020 | Number of prescription fills for each drug. Includes original prescriptions and refills. | number |
2020 Total BeneficiariesTot_Benes_2020 | Number of Part D beneficiaries utilizing the drug during the benefit year. | number |
2020 Average Total Spending Per Dosage Unit (Weighted)Avg_Spnd_Per_Dsg_Unt_Wghtd_2020 | Medicare Part D drug spending divided by the number of dosage units, which is weighted by the proportion of total claims. | number |
2020 Average Total Spending Per ClaimAvg_Spnd_Per_Clm_2020 | Part D drug spending divided by the number of prescription fills. | number |
2020 Average Spending Per BeneficiaryAvg_Spnd_Per_Bene_2020 | Total Part D drug spending divided by the number of unique beneficiaries utilizing the drug during the benefit year. | number |
2020 Outlier FlagOutlier_Flag_2020 | Yearly outlier flag variable, which is set to “1” when a drug’s Average Spending per Dosage Unit is substantially impacted by outlier records in a given year. These potentially anomalous drugs are identified as outliers so that users can exercise caution when interpreting results. See the methodology document for additional details. | number |
2021 Total SpendingTot_Spndng_2021 | Aggregate drug spending for the Medicare Part D program during the benefit year. | number |
2021 Total Dosage UnitsTot_Dsg_Unts_2021 | The sum of the dosage units of medication dispensed across the calendar year (e.g. number of tablets, grams, milliliters or other units). Unit refers to the drug unit in the lowest dispensable amount. | number |
2021 Total ClaimsTot_Clms_2021 | Number of prescription fills for each drug. Includes original prescriptions and refills. | number |
2021 Total BeneficiariesTot_Benes_2021 | Number of Part D beneficiaries utilizing the drug during the benefit year. | number |
2021 Average Total Spending Per Dosage Unit (Weighted)Avg_Spnd_Per_Dsg_Unt_Wghtd_2021 | Medicare Part D drug spending divided by the number of dosage units, which is weighted by the proportion of total claims. | number |
2021 Average Total Spending Per ClaimAvg_Spnd_Per_Clm_2021 | Part D drug spending divided by the number of prescription fills. | number |
2021 Average Spending Per BeneficiaryAvg_Spnd_Per_Bene_2021 | Total Part D drug spending divided by the number of unique beneficiaries utilizing the drug during the benefit year. | number |
2021 Outlier FlagOutlier_Flag_2021 | Yearly outlier flag variable, which is set to “1” when a drug’s Average Spending per Dosage Unit is substantially impacted by outlier records in a given year. These potentially anomalous drugs are identified as outliers so that users can exercise caution when interpreting results. See the methodology document for additional details. | number |
2022 Total SpendingTot_Spndng_2022 | Aggregate drug spending for the Medicare Part D program during the benefit year. | number |
2022 Total Dosage UnitsTot_Dsg_Unts_2022 | The sum of the dosage units of medication dispensed across the calendar year (e.g. number of tablets, grams, milliliters or other units). Unit refers to the drug unit in the lowest dispensable amount. | number |
2022 Total ClaimsTot_Clms_2022 | Number of prescription fills for each drug. Includes original prescriptions and refills. | number |
2022 Total BeneficiariesTot_Benes_2022 | Number of Part D beneficiaries utilizing the drug during the benefit year. | number |
2022 Average Total Spending Per Dosage Unit (Weighted)Avg_Spnd_Per_Dsg_Unt_Wghtd_2022 | Medicare Part D drug spending divided by the number of dosage units, which is weighted by the proportion of total claims. | number |
2022 Average Total Spending Per ClaimAvg_Spnd_Per_Clm_2022 | Part D drug spending divided by the number of prescription fills. | number |
2022 Average Spending Per BeneficiaryAvg_Spnd_Per_Bene_2022 | Total Part D drug spending divided by the number of unique beneficiaries utilizing the drug during the benefit year. | number |
2022 Outlier FlagOutlier_Flag_2022 | Yearly outlier flag variable, which is set to “1” when a drug’s Average Spending per Dosage Unit is substantially impacted by outlier records in a given year. These potentially anomalous drugs are identified as outliers so that users can exercise caution when interpreting results. See the methodology document for additional details. | number |
2023 Total SpendingTot_Spndng_2023 | Aggregate drug spending for the Medicare Part D program during the benefit year. | number |
2023 Total Dosage UnitsTot_Dsg_Unts_2023 | The sum of the dosage units of medication dispensed across the calendar year (e.g. number of tablets, grams, milliliters or other units). Unit refers to the drug unit in the lowest dispensable amount. | number |
2023 Total ClaimsTot_Clms_2023 | Number of prescription fills for each drug. Includes original prescriptions and refills. | number |
2023 Total BeneficiariesTot_Benes_2023 | Number of Part D beneficiaries utilizing the drug during the benefit year. | number |
2023 Average Total Spending Per Dosage Unit (Weighted)Avg_Spnd_Per_Dsg_Unt_Wghtd_2023 | Medicare Part D drug spending divided by the number of dosage units, which is weighted by the proportion of total claims. | number |
2023 Average Total Spending Per ClaimAvg_Spnd_Per_Clm_2023 | Part D drug spending divided by the number of prescription fills. | number |
2023 Average Spending Per BeneficiaryAvg_Spnd_Per_Bene_2023 | Total Part D drug spending divided by the number of unique beneficiaries utilizing the drug during the benefit year. | number |
2023 Outlier FlagOutlier_Flag_2023 | Yearly outlier flag variable, which is set to “1” when a drug’s Average Spending per Dosage Unit is substantially impacted by outlier records in a given year. These potentially anomalous drugs are identified as outliers so that users can exercise caution when interpreting results. See the methodology document for additional details. | number |
2024 Total SpendingTot_Spndng_2024 | Aggregate drug spending for the Medicare Part D program during the benefit year. | number |
2024 Total Dosage UnitsTot_Dsg_Unts_2024 | The sum of the dosage units of medication dispensed across the calendar year (e.g. number of tablets, grams, milliliters or other units). Unit refers to the drug unit in the lowest dispensable amount. | number |
2024 Total ClaimsTot_Clms_2024 | Number of prescription fills for each drug. Includes original prescriptions and refills. | number |
2024 Total BeneficiariesTot_Benes_2024 | Number of Part D beneficiaries utilizing the drug during the benefit year. | number |
2024 Average Total Spending Per Dosage Unit (Weighted)Avg_Spnd_Per_Dsg_Unt_Wghtd_2024 | Medicare Part D drug spending divided by the number of dosage units, which is weighted by the proportion of total claims. | number |
2024 Average Total Spending Per ClaimAvg_Spnd_Per_Clm_2024 | Part D drug spending divided by the number of prescription fills. | number |
2024 Average Spending Per BeneficiaryAvg_Spnd_Per_Bene_2024 | Total Part D drug spending divided by the number of unique beneficiaries utilizing the drug during the benefit year. | number |
2024 Outlier FlagOutlier_Flag_2024 | Yearly outlier flag variable, which is set to “1” when a drug’s Average Spending per Dosage Unit is substantially impacted by outlier records in a given year. These potentially anomalous drugs are identified as outliers so that users can exercise caution when interpreting results. See the methodology document for additional details. | number |
Change in Average Total Spending Per Dosage Unit (2023-2024)Chg_Avg_Spnd_Per_Dsg_Unt_23_24 | The percent change in average spending per dosage unit from the prior year. | number |
CAGR_Avg_Spnd_Per_Dsg_Unt_20_24CAGR_Avg_Spnd_Per_Dsg_Unt_20_24 | number |
No column matches that filter.
At a glance
- Catalog
- data.cms.gov
- Publisher
- Office of Enterprise Data and Analytics (OEDA)
- Rows
- 14,536
- Columns
- 46
- 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/7e0b4365-fd63-4a29-8f5e-e0ac9f66a81b/data?size=10
CMS's description
The Medicare Part D by Drug dataset presents information on spending for drugs prescribed to Medicare beneficiaries enrolled in Part D by physicians and other healthcare providers. Drugs prescribed in the Medicare Part D program are drugs patients generally administer themselves. The dataset focuses on average spending per dosage unit and change in average spending per dosage unit over time. 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 Part D drugs are based on the gross drug cost, which represents total spending for the prescription claim, including Medicare, plan, and beneficiary payments. The Part D spending metrics do not reflect any manufacturers’ rebates or other price concessions as CMS is prohibited from publicly disclosing such information.
Methodology and other documents from CMS:
The summary at the top was written by hand from this description. Record id cms:7e0b4365-fd63-4a29-8f5e-e0ac9f66a81b. This record as JSON.