Free · CMS Medicaid SDUD

SDUD lookup: Medicaid drug utilization by state

State Drug Utilization Data is the quarterly file of Medicaid outpatient drug claims. Pick a state, name a product if you have one, and see prescriptions, units and dollars reimbursed — split between fee-for-service and managed care.

How it works

Three steps, no account.

  1. 1

    Pick a state

    Choose the state whose Medicaid program you want to see. SDUD is reported per state Medicaid agency.

  2. 2

    Name a drug, or leave it blank

    Type a brand or generic product name to filter, or leave the field empty to see the highest-volume products in that state.

  3. 3

    Read volume and dollars

    Results list prescriptions, units and reimbursement by quarter and channel, ranked by prescription volume.

Common questions

What is SDUD?

State Drug Utilization Data — the file CMS publishes each quarter of Medicaid-covered outpatient drug claims, by state and national drug code. It exists to administer the Medicaid drug rebate program, and it is fully public.

What does each row mean?

One product in one state for one quarter and one channel: number of prescriptions, units reimbursed, total dollars reimbursed and the Medicaid share of those dollars.

What is the difference between fee-for-service and managed care?

Fee-for-service claims are paid directly by the state Medicaid agency. Managed care claims run through a contracted Medicaid plan. CMS reports both separately, and in most states managed care is now the larger share.

Why are some products missing?

CMS suppresses any cell with 10 or fewer claims to protect patient privacy, so low-volume products are withheld rather than reported as zero.

Can I get SDUD by county or by prescriber?

No. CMS publishes SDUD at state and product grain only. For prescriber-level detail, use the Medicare Part D prescriber lookup instead.

Are the dollar figures net of rebates?

No. Amounts reimbursed are gross, before manufacturer rebates, which are confidential. Treat them as relative volume signals rather than net spend.

Related: the underlying dataset and the Medicare Part D prescriber lookup.

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