data.cms.govHand-written summary

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

ColumnWhat it meansType
Brand NameBrnd_NameThe 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_NameA 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_MftrNumber of manufacturers for each drug.number
ManufacturerMftr_NameName of the manufacturer of the drug.string
2020 Total SpendingTot_Spndng_2020Aggregate drug spending for the Medicare Part D program during the benefit year.number
2020 Total Dosage UnitsTot_Dsg_Unts_2020The 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_2020Number of prescription fills for each drug. Includes original prescriptions and refills.number
2020 Total BeneficiariesTot_Benes_2020Number 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_2020Medicare 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_2020Part D drug spending divided by the number of prescription fills.number
2020 Average Spending Per BeneficiaryAvg_Spnd_Per_Bene_2020Total Part D drug spending divided by the number of unique beneficiaries utilizing the drug during the benefit year.number
2020 Outlier FlagOutlier_Flag_2020Yearly 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_2021Aggregate drug spending for the Medicare Part D program during the benefit year.number
2021 Total Dosage UnitsTot_Dsg_Unts_2021The 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_2021Number of prescription fills for each drug. Includes original prescriptions and refills.number
2021 Total BeneficiariesTot_Benes_2021Number 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_2021Medicare 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_2021Part D drug spending divided by the number of prescription fills.number
2021 Average Spending Per BeneficiaryAvg_Spnd_Per_Bene_2021Total Part D drug spending divided by the number of unique beneficiaries utilizing the drug during the benefit year.number
2021 Outlier FlagOutlier_Flag_2021Yearly 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_2022Aggregate drug spending for the Medicare Part D program during the benefit year.number
2022 Total Dosage UnitsTot_Dsg_Unts_2022The 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_2022Number of prescription fills for each drug. Includes original prescriptions and refills.number
2022 Total BeneficiariesTot_Benes_2022Number 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_2022Medicare 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_2022Part D drug spending divided by the number of prescription fills.number
2022 Average Spending Per BeneficiaryAvg_Spnd_Per_Bene_2022Total Part D drug spending divided by the number of unique beneficiaries utilizing the drug during the benefit year.number
2022 Outlier FlagOutlier_Flag_2022Yearly 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_2023Aggregate drug spending for the Medicare Part D program during the benefit year.number
2023 Total Dosage UnitsTot_Dsg_Unts_2023The 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_2023Number of prescription fills for each drug. Includes original prescriptions and refills.number
2023 Total BeneficiariesTot_Benes_2023Number 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_2023Medicare 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_2023Part D drug spending divided by the number of prescription fills.number
2023 Average Spending Per BeneficiaryAvg_Spnd_Per_Bene_2023Total Part D drug spending divided by the number of unique beneficiaries utilizing the drug during the benefit year.number
2023 Outlier FlagOutlier_Flag_2023Yearly 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_2024Aggregate drug spending for the Medicare Part D program during the benefit year.number
2024 Total Dosage UnitsTot_Dsg_Unts_2024The 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_2024Number of prescription fills for each drug. Includes original prescriptions and refills.number
2024 Total BeneficiariesTot_Benes_2024Number 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_2024Medicare 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_2024Part D drug spending divided by the number of prescription fills.number
2024 Average Spending Per BeneficiaryAvg_Spnd_Per_Bene_2024Total Part D drug spending divided by the number of unique beneficiaries utilizing the drug during the benefit year.number
2024 Outlier FlagOutlier_Flag_2024Yearly 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_24The 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_24number

At a glance

Catalog
data.cms.gov
Publisher
Office of Enterprise Data and Analytics (OEDA)
Rows
14,536
Columns
46
State column
None found
Topics
Prescription drugs, Spending and use of services, Other facilities and suppliers
Contact
IPAG_Data_Products@cms.hhs.gov

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.

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