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Pharmacy Retail Drug Pricing & Dispensing Fees in Medicare Part D (2020-04)

Published: April 29, 2020

File Type:

Microsoft Excel

Data for Date:

April 2020

Number of Records:

480,000+

Product Details

This pharmacy pricing file provides calculated Retail Unit Pricing and Dispensing Fees at common national & independent pharmacies for over 1,100 drugs which make up 90% of Medicare’s cost and utilization. The file includes pricing for 18 Medicare Part D PDP plans accounting for 74% of PDP enrollment.

This excel file can be used by pharmacy owners, pharmacists, data analysts, pricing analysts, consultants, and other stakeholders who want transparency of drug pricing across different pharmacies and different networks.


Pharmacies:

Pharmacies
3 National Chains
1 Grocery Chain
3 Independent
1 Regional Chain

 

Drugs:

Covers 90% of drug utilization and 90% of drug costs for Medicare

Drug Type NDC Count
Brand 591
Generic 670

*based on 2018 Medicare claims data

Plans:

Represents 74% of Enrollment in Medicare Part D PDP Plans

Medicare Part D PDP Plan Name
AARP MedicareRx Preferred (PDP)
AARP MedicareRx Saver Plus (PDP)
AARP MedicareRx Walgreens (PDP)
Cigna-HealthSpring Rx Secure (PDP)
Cigna-HealthSpring Rx Secure-Essential (PDP)
Cigna-HealthSpring Rx Secure-Extra (PDP)
EnvisionRxPlus (PDP)
Express Scripts Medicare – Choice (PDP)
Express Scripts Medicare – Saver (PDP)
Express Scripts Medicare – Value (PDP)
Humana Basic Rx Plan (PDP)
Humana Premier Rx Plan (PDP)
Humana Walmart Value Rx Plan (PDP)
SilverScript Choice (PDP)
SilverScript Plus (PDP)
WellCare Classic (PDP)
WellCare Medicare Rx Saver (PDP)
WellCare Medicare Rx Select (PDP)
WellCare Medicare Rx Value Plus (PDP)
WellCare Value Script (PDP)
WellCare Wellness Rx (PDP)


Layout:

Available Fields in File:

NDC
Drug_Name
Drug_Name_Desc
Drug_Type_BG
Drug_PackSize
NDC_Quantity
NDC_Unit
Pharmacy_Name
CMS_Contract_Id
CMS_Plan_Id
CMS_Segment_Id
CMS_Contract_Year
Plan_Name
Plan_Parent_Company
Covered
Is_InNetwork
Is_Preferred
Is_MailOrder
Priced_Quantity
EstDispensingFee
RX_PricePerQty
Unit_PricePerQty

 

$1,299.00 – Add to Cart Excluding 5.75% tax

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