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Quarterly Prescription Drug Plan Formulary, Pharmacy Network, and Pricing Information
The Quarterly Prescription Drug Plan Formulary, Pharmacy Network, and Pricing Information files contain formulary, pharmacy network, and pricing data for Medicare Prescription Drug Plans and Medicare Advantage (MA) Prescription Drug Plans (with the exception of employer and Program of All-Inclusive Care for the Elderly plans). Notice: CMS has identified an issue that resulted in a 15% coinsurance for plans with Defined Standard benefits to be listed rather than a 25% coinsurance in the Beneficiary Cost File under certain scenarios. This issue affected the 2023 Q4 to 2024 Q3 data. CMS will re-post the corrected data in batches between now and May 2025. These non-identifiable files are available on a quarterly basis and are comprised of the following tables: Plan Information - Information such as plan name, contract ID, plan ID, service area, and plan type. Geographic Locator - MA and Prescription Drug Plans region codes and county codes. Basic Drugs Formulary - Formulary details for each plan including National Drug Codes (NDCs), cost share tier level, and indicators for step therapy, quantity limits, and prior authorization. Excluded Drugs Formulary - Enhanced alternative plans may elect to provide a supplemental benefit and cover excluded drugs. File includes formulary details for excluded drugs that are covered by the plan (for enhanced alternative plans only). Beneficiary Cost - Plan level cost sharing details for preferred, non-preferred, and mail order network pharmacies. Pharmacy Network - National Provider Identifier (NPI) numbers for each network pharmacy including preferred, retail, and mail order indicators. Pricing - Plan level average monthly costs for formulary Part D drugs (note: this table is only available in the quarterly files). Indication Based Coverage Formulary File - Includes drugs covered based on FDA-approved indication for each plan. Insulin Beneficiary Cost File - Plan level cost sharing details for insulin at preferred, non-preferred and mail order network pharmacies. These are large files and can take time to download. Please read the “Agreement for Use” in the Resources section below. This document contains important information regarding timeframes for obtaining data as well as data accuracy and integrity. The Monthly Prescription Drug Plan Formulary and Pharmacy Network Information is also available to access for the monthly level information. Please note: The Part D benefit year information for plans become available in October of the year prior. For example, year 2024 data is available in the fourth quarter file of 2023. Year 2024 data continues to be available in the Q1-Q3 2024 files, then in the fourth quarter of 2024 year 2025 data becomes available. Estimated release dates for upcoming 2025 quarterly data (files reflect data for the quarter that ended the month before the file was released): 4/23/25 7/30/25 Files older than contract year 2019 can be purchased.
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Quarterly Prescription Drug Plan Formulary, Pharmacy Network, and Pricing Information
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The Quarterly Prescription Drug Plan Formulary, Pharmacy Network, and Pricing Information files contain formulary, pharmacy network, and pricing data for Medicare Prescription Drug Plans and Medicare Advantage (MA) Prescription Drug Plans (with the exception of employer and Program of All-Inclusive Care for the Elderly plans). These non-identifiable files are available on a quarterly basis and are comprised of the following tables: Plan Information - Information such as plan name, contract ID, plan ID, service area, and plan type. Geographic Locator - MA and Prescription Drug Plans region codes and county codes. Basic Drugs Formulary - Formulary details for each plan including National Drug Codes (NDCs), cost share tier level, and indicators for step therapy, quantity limits, and prior authorization. Excluded Drugs Formulary - Enhanced alternative plans may elect to provide a supplemental benefit and cover excluded drugs. File includes formulary details for excluded drugs that are covered by the plan (for enhanced alternative plans only). Beneficiary Cost - Plan level cost sharing details for preferred, non-preferred, and mail order network pharmacies. Pharmacy Network - National Provider Identifier (NPI) numbers for each network pharmacy including preferred, retail, and mail order indicators. Pricing - Plan level average monthly costs for formulary Part D drugs (note: this table is only available in the quarterly files). Indication Based Coverage Formulary File - Includes drugs covered based on FDA-approved indication for each plan. Insulin Beneficiary Cost File - Plan level cost sharing details for insulin at preferred, non-preferred and mail order network pharmacies. These are large files and can take time to download. Please read the “Agreement for Use” in the Resources section below. This document contains important information regarding timeframes for obtaining data as well as data accuracy and integrity. The Monthly Prescription Drug Plan Formulary and Pharmacy Network Information is also available to access for the monthly level information. Please note: The Part D benefit year information for plans become available in October of the year prior. For example, year 2024 data is available in the fourth quarter file of 2023. Year 2024 data continues to be available in the Q1-Q3 2024 files, then in the fourth quarter of 2024 year 2025 data becomes available. Estimated release dates for upcoming 2025 and 2026 quarterly data (files reflect data for the quarter that ended the month before the file was released): 10/15/25 1/28/26 4/22/26 7/29/26 Files older than contract year 2019 can be purchased.
Monthly Prescription Drug Plan Formulary and Pharmacy Network Information
공공데이터포털
The Monthly Prescription Drug Plan Formulary and Pharmacy Network Information files contain formulary and pharmacy network data for Medicare Prescription Drug Plans and Medicare Advantage (MA) Prescription Drug Plans (with the exception of employer and Program of All-Inclusive Care for the Elderly plans). Notice: CMS has identified an issue that resulted in a 15% coinsurance for plans with Defined Standard benefits to be listed rather than a 25% coinsurance in the Beneficiary Cost File under certain scenarios. This issue affected the October 2023 to November 2024 data. CMS will re-post the corrected data in batches between now and May 2025. The following files have already been corrected and re-posted: October 2024 November 2024 These non-identifiable files are available on a monthly basis and are comprised of the following tables: Plan Information - Information such as plan name, contract ID, plan ID, service area, and plan type. Geographic Locator - MA and Prescription Drug Plans region codes and county codes. Basic Drugs Formulary - Formulary details for each plan including National Drug Codes (NDCs), cost share tier level, and indicators for step therapy, quantity limits, and prior authorization. Excluded Drugs Formulary - Enhanced alternative plans may elect to provide a supplemental benefit and cover excluded drugs. File includes formulary details for excluded drugs that are covered by the plan (for enhanced alternative plans only). Beneficiary Cost - Plan level cost sharing details for preferred, non-preferred, and mail order network pharmacies. Pharmacy Network - National Provider Identifier (NPI) numbers for each network pharmacy including preferred, retail, and mail order indicators. Indication Based Coverage Formulary File - Includes drugs covered based on FDA-approved indication for each plan. Insulin Beneficiary Cost File - Plan level cost sharing details for insulin at preferred, non-preferred and mail order network pharmacies. These are large files and can take time to download. Please read the “Agreement for Use” in the Resources section below. This document contains important information regarding timeframes for obtaining data as well as data accuracy and integrity. The Quarterly Prescription Drug Plan Formulary, Pharmacy Network, and Pricing Information is also available to access for the quarterly level information. Please note: The Part D benefit year information for plans become available in October of the year prior. For example, year 2024 data is available in the October, November and December 2023 monthly files. Year 2024 data continues to be available in the January through September 2024 monthly files, then beginning in October of 2024 year 2025 data becomes available. Estimated release dates for upcoming 2025 monthly data (files reflect data for the month in which the file is released): 2/26/25 3/26/25 4/23/25 5/21/25 6/18/25 7/30/25 8/27/25 9/24/25 Files older than contract year 2019 can be purchased.
Monthly Prescription Drug Plan Formulary and Pharmacy Network Information
공공데이터포털
The Monthly Prescription Drug Plan Formulary and Pharmacy Network Information files contain formulary and pharmacy network data for Medicare Prescription Drug Plans and Medicare Advantage (MA) Prescription Drug Plans (with the exception of employer and Program of All-Inclusive Care for the Elderly plans). These non-identifiable files are available on a monthly basis and are comprised of the following tables: Plan Information - Information such as plan name, contract ID, plan ID, service area, and plan type. Geographic Locator - MA and Prescription Drug Plans region codes and county codes. Basic Drugs Formulary - Formulary details for each plan including National Drug Codes (NDCs), cost share tier level, and indicators for step therapy, quantity limits, and prior authorization. Excluded Drugs Formulary - Enhanced alternative plans may elect to provide a supplemental benefit and cover excluded drugs. File includes formulary details for excluded drugs that are covered by the plan (for enhanced alternative plans only). Beneficiary Cost - Plan level cost sharing details for preferred, non-preferred, and mail order network pharmacies. Pharmacy Network - National Provider Identifier (NPI) numbers for each network pharmacy including preferred, retail, and mail order indicators. Indication Based Coverage Formulary File - Includes drugs covered based on FDA-approved indication for each plan. Insulin Beneficiary Cost File - Plan level cost sharing details for insulin at preferred, non-preferred and mail order network pharmacies. These are large files and can take time to download. Please read the “Agreement for Use” in the Resources section below. This document contains important information regarding timeframes for obtaining data as well as data accuracy and integrity. The Quarterly Prescription Drug Plan Formulary, Pharmacy Network, and Pricing Information is also available to access for the quarterly level information. Please note: The Part D benefit year information for plans become available in October of the year prior. For example, year 2024 data is available in the October, November and December 2023 monthly files. Year 2024 data continues to be available in the January through September 2024 monthly files, then beginning in October of 2024 year 2025 data becomes available. Estimated release dates for upcoming 2025 and 2026 monthly data (files reflect data for the month in which the file is released): 10/15/25 11/19/25 12/17/25 1/28/26 2/25/26 3/25/26 4/22/26 5/20/26 6/17/26 7/29/26 8/26/26 9/23/26 Files older than contract year 2019 can be purchased.
Non-Group Supplementary Coverage: Number of Drug Prescriptions and Net Payment by Prescription Type and Coverage Category
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This table provides statistics on the Number of Drug Prescriptions, Net Payments by Prescription Type and Coverage Category for Non-Group Supplementary Plans. Non-Group supplementary health plans provide coverage for prescribed drugs and selected health services. Supplementary health plans are funded by Alberta Health and administered by Alberta Blue Cross. This table is an Excel version of a table in the "Alberta Health Care Insurance Statistical Supplement" report published annually by Alberta Health.
Medicare Quarterly Part B Spending by Drug
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The Medicare Quarterly Part B Spending by Drug dataset presents information on spending for drugs administered in doctors’ offices and other outpatient settings by physicians and other healthcare providers to Medicare Part B enrollees. It also includes consumer-friendly descriptions of the drug uses, clinical indications, and manufacturer(s). Drug spending metrics for Part B drugs represent the full value of the product, including the Medicare payment and beneficiary liability. All Part B drug spending metrics are calculated at the HCPCS level. This dataset reports preliminary data that goes beyond the latest date available in the annual Medicare Part B Spending by Drug dataset. The data are updated each quarter and may change with each new release due to claims lag. Once an entire year of data is available with a sufficient run-out period, that data will move out of the preliminary quarterly dataset and into the annual Medicare Part B Spending by Drug dataset. Due to the preliminary nature of the quarterly dataset, we advise using caution when comparing between the annual and quarterly datasets.
보건복지부 국립나주병원 비급여 수가 및 의약품 목록
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보건복지부 국립나주병원의 비급여 수가 및 의약품 목록 데이터로 제증명료 진단서, 제증명료 소견서, 제증명료 확인서, 심리검사, 뇌파검사, 치과처치, 약제 비용이 포함되어 있습니다.
식품의약품안전처 월별 의료용 마약류 처방 의사수 및 마약류관리자 현황 서비스
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월별 의료용 마약류 처방 의사수 및 마약류관리자 현황 서비스는 2019년 이후의 데이터(취급년월, 처방기관 종별명, 의사면허 종별명, 처방의사수, 마약류관리자수)를 제공합니다. 의료기관종별 의료용 마약류 처방의사 및 마약류관리자 추이를 확인할 수 있습니다. * 2019 ~ 2023년은 연간 데이터이며, 2024년 이후 부터 월간데이터로 구성됩니다. ※ 이 데이터는 「마약류 관리에 관한 법률」 제11조에 따른 '마약류 취급보고 제도'가 2018년 5월부터 시행됨에 따라 '마약류통합정보관리센터' 및 '마약류통합관리시스템' 운영을 통해 보고된 의료용 마약류 취급 기관, 의사 및 환자 수 등을 기반으로 집계됩니다.
Non-Group Supplementary Coverage: Number of Prescriptions and Prescription Cost Components by Coverage Category (Direct Bill Claims Only)
공공데이터포털
This table provides statistics on the Number of Prescriptions and Prescription Cost Components by Coverage Category (Direct Bill Claims Only) for Non-Group Supplementary Plans. Non-Group supplementary health plans provide coverage for prescribed drugs and selected health services. Supplementary health plans are funded by Alberta Health and administered by Alberta Blue Cross. This table is an Excel version of a table in the "Alberta Health Care Insurance Statistical Supplement" report published annually by Alberta Health.