Medicaid prescription volumes by manufacturer

API TraderAPI QuantAPI Developer

What US state Medicaid programs actually paid for, per drug manufacturer, every quarter: prescriptions, units dispensed and dollars reimbursed, from the Centers for Medicare & Medicaid Services' State Drug Utilization Data.

The first five digits of a national drug code identify the labeler, the company that puts the product on the market, so the file aggregates cleanly to manufacturers. It is the largest free, product-level quantity-and-price view of the US drug market, and it front-runs GLP-1 volume, insulin share, biosimilar uptake and generic erosion for companies that report the same volumes much later.

The all-manufacturer prescription total is published from the same file, so a company's Medicaid share is one division away.

Available Data Points:

  • Period Date: The period the value describes — what the number is about (the valid clock).
  • Published At: When the value first became knowable — when the publisher released it (the knowledge clock). Filter on this for anything where look-ahead bias would matter.
  • Value: The numeric value, where the series has one.
  • Value Text: The textual value, for categorical series such as a trial's status or phase.
  • Unit: Unit of the value, e.g. vehicles, percent, USD.
  • Value Type: number, percent, currency, count or text.
  • Frequency: How often the publisher releases the series.
  • Market: The market the reading describes — an ISO-3166 alpha-2 code (DE), a sub-national one (US-CA), a supranational aggregate (EA, EU) or GLOBAL.
  • Series Slug: Which series the reading belongs to. Unique within a publisher, not globally.
  • Series Name: Human-readable name of the series.
  • Source Slug: Publisher/feed identifier, e.g. kba_registrations.
  • Source Name: Human-readable name of the publisher or feed.
  • Publisher: Who publishes the underlying data.
  • Entity Ref: The publisher's own identifier for what the reading is about — a manufacturer name, a securitisation trust, a reactor unit, a country code. Kept so any value can be traced back to the row it was parsed from.

Coverage

Medicaid only, roughly a fifth of US prescriptions, with a mix that skews toward generics and away from the commercially insured. The national roll-up is imported, quarterly. Cells covering fewer than eleven prescriptions are suppressed by CMS.

What to look for

Read shares and rates of change, not levels. A manufacturer's prescriptions over medicaid_total_prescriptions is its Medicaid share, and it turns before the company reports.

Dollars reimbursed over prescriptions is a rough gross price per script. It is before manufacturer rebates, which in Medicaid are large, so it overstates what the manufacturer keeps; its direction after a generic launch is the useful part.

Two dates on every reading, and the difference is the edge

periodDate is what the number is about. publishedAt is when it first became knowable. The gap between them is the whole point of alternative data — and it is also the trap. A Form 10-D describing July is filed in mid-August, so a backtest that treats the period as the knowledge date reads a document six weeks before it existed.

from_date and to_date filter on periodDate, because that is the axis you plot against. Join on publishedAt when you are joining against returns.

Filtering: one market or all of them

Called with no filters, the endpoint returns every series in the dataset, for every market ORTEX covers it in. Each row names its own market, seriesSlug and sourceSlug, so a single request is enough to chart the whole dataset.

Narrow it with any combination of market (one market), series (one measure) and source (one publisher). Filter values that are each valid but select nothing together return 400 invalidSelection rather than a misleading empty result.

Raw readings here; comparable ones next door

This endpoint serves the publisher's numbers. Raw values are frequently not comparable — receivables of $10.9bn against $4.9bn say nothing without each book's size, and a 5.3% charge-off rate means something different on a subprime book than a prime one. The Alt Data signals endpoint serves the same series as percentiles and z-scores against a stated comparison set, which is the form a screen or a backtest wants.

Why a company you expect may be missing

Three reasons, and none of them is a bug:

  • The dataset is a window, not a census: Several of these publishers release a rolling window rather than a complete history.
  • The filer is not the listed company: Registers name a marque, a charter or a trust. ORTEX maps those to the listed parent where the link is defensible and leaves them unmapped where it is not — a wrong mapping silently attributes another company's data to your ticker.
  • The population is genuinely narrow: Not every listed company appears in every register, and no amount of mapping changes that.

How much history there is

Several of these publishers overwrite their own pages and keep no archive. Where that is so, the series begins on the day ORTEX started capturing it and lengthens from there — nobody, including the publisher, can supply the days before that. Everything ORTEX has ever fetched is archived on capture, so the series only ever grows.

Try it out! You can test the API with the trial key TEST. Simply include it in your request headers; either here, or add the header "Ortex-Api-Key": "TEST" to your http request.

Trial key restrictions: Trial keys may be limited to a specific date range and set of regions. Requests outside the allowed regions or entirely outside the allowed date range are rejected; a date window that partially overlaps the allowed range is trimmed to it, reported in meta.restriction.

Get full access! Get a key at app.ortex.com/apis

Path Params
string
required

Where to find the instrument: a venue (exchange symbol, MIC or ISO-2 country) or an identifier scheme (tid, sid, cid, isin, figi). See Identifying an instrument.

string
required

The ticker on that venue, or the value in that scheme. An ISIN, sid, cid or share-class FIGI answers for the main listing only; reference/listings lists the others. See Identifying an instrument.

Query Params
string

Restrict the response to one market. Case-insensitive. This endpoint covers: US. Omit it to receive every market at once - the rows carry their own market, so one request is enough to chart all of them. An unrecognized value returns 400 invalidMarket naming the accepted set.

date
required

Inclusive start of the returned date window. Format: YYYY-MM-DD.

Also selects the instrument: the ticker resolves to the listing that held it on the exchange in the URL path on this date. To retrieve a delisted or renamed company, use its former exchange and ticker with a from_date from when it was listed. An identifier path (/stock/isin|figi|sid|cid/<value>/…) resolves at this date too. The instrument block in the response names the company the data belongs to.

date

Inclusive end of the returned date window (defaults to today). Format: YYYY-MM-DD.

string

Restrict the response to one measure within this dataset. Case-insensitive. Carried here: medicaid_prescriptions, medicaid_units, medicaid_reimbursed_usd, medicaid_total_prescriptions. Omit it to receive every measure. A slug is unique within a publisher rather than globally, so where several publishers in this dataset use the same one, pair it with market or source - an ambiguous slug returns 400 invalidSeries naming the alternatives rather than guessing which country you meant.

string

Restrict the response to one publisher. Case-insensitive. Feeding this endpoint: medicaid_drug_utilisation. Most useful as the disambiguator for a series slug more than one publisher uses. An unrecognized value returns 400 invalidSource naming the accepted set.

integer

Page number within the paginated result set. Must be >= 1. Defaults to 1.

integer

Number of rows per page. The default and the maximum allowed depend on the API tier; a value above the tier maximum is rejected with 400 invalidPageSize.

string
enum
Defaults to json

Response format. "json" (default) or "csv".

Allowed:
Headers
string
enum
Defaults to application/json

Generated from available response content types

Allowed:
Responses

Language
Credentials
Header
LoadingLoading…
Response
Click Try It! to start a request and see the response here! Or choose an example:
application/json
text/csv