Opioid Drug Claims
This indicator provides information about Medicare Part D opioid drug claims. Report data includes the number of Medicare Part D claims (for both original prescriptions and refills), and the number of opioid drug claims as a percentage of total prescription drug claims.
Source
Source Description
Centers for Medicare & Medicaid Services Medicare Part D Opioid Drug Mapping Tool Rate denominator: Medicare Part D Claims, Rate Calculated by Source
Methodology
Data are from the Centers for Medicare and Medicaid Services (CMS) Medicare Part D Opioid Drug Mapping Tool. This tool aggregates data from the Part D Prescriber Summary Table, which contains information at the prescriber-level (i.e. one summary record per NPI) and includes overall as well as sub-group summaries (e.g. opioids) of drug utilization, drug costs, and beneficiary counts. Opioid prescribing rates are presented as the number of opiate prescription claims as a percentage of total prescription drug claims.
Note:The numbers of drug claims include the original prescription and any refills.
A list of drug names included as opioids can be found in the Part D Prescriber National Summary Report.
Data Breakouts Available
- Medicare Part D Opioid Drug Claims of Total Prescription Drug Claims, Percent by Year, 2013 through 2022
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