Product Data for Drugs in the Medicaid Drug Rebate Program
The rebate drug product data file [ZIP] contains the active drugs that have been reported by participating drug manufacturers as of the most recent rebate reporting period under the Medicaid Drug Rebate Program. All drugs are identified by National Drug Code (NDC), unit type, units per package size, product name, Food and Drug Administration (FDA) approval date, the date the drug entered the market, plus indicators to show whether the drug is an innovator or non-innovator drug; whether it is available by prescription or over-the-counter (OTC); the FDA therapeutic equivalency code; and the Drug Efficacy Study Implementation (DESI) rating and termination date, if applicable. (Note: Only active drugs and drugs with a termination date on or after the last processed quarter are included in the file). For your convenience, we are also providing you the record specification and definitions for the drug product data file [PDF].
State Utilization Data
Drug utilization for states are available for covered outpatient drugs paid for by State Medicaid agencies since the start of the Medicaid Drug Rebate Program. To download these data, please use the State drug utilization data specifications [PDF].
How often are the State Drug Utilization Data updated and posted to the website?
1st Quarter (plus 5 preceding years of data): August
2nd Quarter (plus 5 preceding years of data): November
3rd Quarter (plus 5 preceding years of data): February
4th Quarter (plus 5 preceding years of data): May
State drug utilization data older than the current quarter plus five previous years of data is updated annually and posted to the website during the month of February.
Please note that this format includes two new fields: Medicaid Amount Reimbursed and Non-Medicaid Amount Reimbursed. The sum of these two fields should generally equal the Total Amount Reimbursed on an NDC by NDC basis; however, these new fields were implemented beginning with the fourth quarter of 2007 and are optional for the states to report prior to that time. Therefore, for quarters earlier than fourth quarter 2007, there may be some large discrepancies between the Total Amount Reimbursed and the sum of the Medicaid Amount Reimbursed and the Non-Medicaid Amount Reimbursed because the Non-Medicaid Amount Reimbursed is often not present for those earlier quarters. Should you notice apparent discrepancies in an individual state's utilization data, your questions should be directed to that state's Technical Contact.
2011 State Utilization Data [ZIP]
2010 State Utilization Data [ZIP]
2009 State Utilization Data [ZIP]
2008 State Utilization Data [ZIP]
2007 State Utilization Data [ZIP]
Questions about the Medicaid Drug Rebate Program's data? Email MDROperations@cms.hhs.gov.