Where can I find drug data?
Data availability depends on the type of drug (e.g., non-retail / medical vs. retail / Rx):
- Non-retail drugs (e.g., infusion J-codes) -- currently included
- Compliance deadline to post was July 2022
- By mid 2023, most payers complied
- Retail drugs (e.g., NDC codes) -- not currently included -- see below:
- Compliance deadline originally was July 2022 alongside non-retail drugs
- Compliance deadline deferred indefinitely with CMS still needing to provide official technical guidance to PBMs
- Some payers began complying earlier (e.g., United Healthcare)
- Others complied with January 2024 deadline (e.g., Optum Rx)
- But most have yet to comply and post data -- -- some additional background on the enforcement delay here: https://www.serifhealth.com/post/exploring-new-prescription-drug-disclosures-for-savings-and-sadness