Medicaid Drug Spending Dashboard
This online dashboard presents information for three categories of
CMS identified the 70 drugs included in the dashboard using 2015 data. CMS included all drugs that met one of the following criteria:
1. The 25 drugs with the highest total spending;
2. The 25 drugs with high average spending per prescription fill (
3. The 20 drugs with large increases in average cost per unit from 2014 to 2015 (if a drug already is selected based on (a) or (b) it is not eligible to be selected based on (c) criteria).
The data presented in the dashboard reflect payments to pharmacy providers for a drug, and do not reflect the rebates that states receive under the Medicaid Drug Rebate Program or under state supplemental rebate agreements. CMS is prohibited from publicly disclosing drug-specific information related to manufacturer rebates. However, the spending data presented in the dashboard are important because they reflect pharmacy-level prices for prescription drugs from pharmacies.
This list is intended to make the trends related to high-cost drug spending for
Table 1. Medicaid Dashboard Summary, CY2015.
Click here to view the table: https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2016-Fact-sheets-items/2016-11-14-2.html
Charts and Analyses
Chart 1 below shows the trend in total drug spending for the five drugs with the highest aggregate drug spending in the
Chart 1. Trends in Medicaid Total Spending for the Top 5 Drugs in 2015.
Click here to view the chart: https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2016-Fact-sheets-items/2016-11-14-2.html
Chart 2 below displays the top five drugs selected for high costs per prescription fill (
Chart 2. Drugs with High Average Medicaid Spending per Prescription Fill and High Total Medicaid Spending, 2015.
Click here to view the chart: https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2016-Fact-sheets-items/2016-11-14-2.html
For drugs selected due to their cost increases with large impacts to the
Chart 3. Drugs with Large Increases in Average Medicaid Cost per Unit, 2014 to 2015.
Click here to view the chart: https://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2016-Fact-sheets-items/2016-11-14-2.html
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