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Medicaid Drug Programs Data & Resources

Drug Utilization Review Annual Report:  On an annual basis, States are required to report on their State’s prescribing habits, cost savings generated from their DUR programs and their program’s operations, including adoption of new innovative DUR practices via the Medicaid Drug Utilization Review Annual Report Survey.  For more information about the DUR Survey, please visit the Drug Utilization Review page.

Excluded Drug Coverage by State Medicaid Program:  Effective January 1, 2006, Medicaid enrollees who are entitled to receive Medicare benefits under Part A or Part B no longer receive their pharmacy benefits under their State Medicaid agency, except for drugs that are not covered under Medicare Part D. Each State has the option to cover these drugs for their Medicaid beneficiaries who also have Medicare coverage. Each State has a list of excluded drugs. Please note this does not apply to the territories.

State Drug Utilization Data:  Drug utilization data is reported by States for covered outpatient drugs that are paid for by State Medicaid Agencies since the start of the Medicaid Drug Rebate Program.  For the National Summary data, please see the Medicaid Drug Rebate Program Data page.

For an overview of Medicaid Prescription Drug Programs visit the Prescription Drugs page.

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