Data Methodology
Prescription Data Source
The Agency for Health Care Administration (Agency) is mandated by section 408.062(1)(h), Florida Statutes (F.S.), to provide transparency in health care by offering Florida consumers information about retail prices of pharmacies for the 300 most dispensed drugs. The Agency shall make available on its website drug prices for a 30-day supply at the indicated dose.
On a monthly basis, the Agency pulls the 300 most dispensed drugs list by total number of paid Florida Medicaid claims per National Drug Code (NDC). The NDCs are limited to Managed Care Organization (MCO) and Fee for Service (FFS) paid claims for fully enrolled pharmacies and exclude controlled substances.
Prescription Data Updates Timeline
| Magellan Pharmacy Data for Month of: | Magellan Pharmacy Data Submission Date: | MyFloridaRx APPROXIMATE Go Live Date: |
|---|---|---|
|
January |
February 7th |
February 15th |
|
February |
March 7th |
March 15th |
|
March |
April 7th |
April 15th |
|
April |
May 7th |
May 15th |
|
May |
June 7th |
June 15th |
|
June |
July 7th |
July 15th |
|
July |
August 7th |
August 15th |
|
August |
September 7th |
September 15th |
|
September |
October 7th |
October 15th |
|
October |
November 7th |
November 15th |
|
November |
December 7th |
December 15th |
|
December |
January 7th |
January 15th |
The pharmacies listed on the website are those that dispensed at least one of the 300 most dispensed drugs to a consumer receiving Medicaid assistance to purchase that medication. These pharmacies are required to provide the State of Florida with their “usual and customary” pricing, which is also known as the retail price and does not include any discounts.
Collection of this data is accomplished through a contract between the Agency for Health Care Administration (Agency) and Magellan Rx, a Pharmacy Benefits Manager (PBM), in the Statewide Medicaid Managed Care Program (SMMC). This data includes the most purchased prescriptions in the state of Florida and provides the pharmacy name, location, medication, usual and customary price, and unique identifiers such as National Drug Codes (NDC).
The State of Florida gathers prices based on claims submitted and provided by PBMs, who maintain a network of contracts with pharmacies. Prescription drug prices may vary from day-to-day. The price you find at your pharmacy may not be the same price that appears on this website. The prices quoted here are only meant to help you compare prices at different pharmacies and are not a guaranteed price. To find your exact price, please contact the pharmacy using the pharmacy information provided.
Source: The results shown on this website are posted as prices reported from PAID claims for the National Drug Code (NDC). A pharmacy must have FULL enrollment with Florida Medicaid reported and certified by Florida Medicaid. Additional information may be found at:
- https://www.ahca.myflorida.com/medicaid/Policy_and_Quality/Policy/pharmacy_policy/index.shtml
- https://ahca.myflorida.com/medicaid/Prescribed_Drug/preferred_drug.shtml
- https://floridaspharmacy.gov/Forms/laws-and-rules-booklet.pdf
Prescription Data Information
The data collected for this website by the Florida Agency for Health Care Administration (Agency) comes from information pharmacies report for billing purposes. This type of record, referred to as "pharmacy data," consists of drug name along with information about the drug’s dose, route, quantity, and price per unit dispensed. Quantity of data consists of those prescriptions filled. The number of prescriptions reflects only the number dispensed by a pharmacy for the month. Due to low volume, counties that have no data have an N/A inserted. The pharmacy data collected by the Florida Agency for Health Care Administration (Agency) comes from Magellan.
NDC – is the number which identifies a drug. The NDC number consists of 11 digits, broken into 3 sections in a 5-4-2 format. The first 5 digits identify the labeler code representing the manufacturer of the drug and are assigned by the Food and Drug Administration (FDA).
Data Disclaimer
The State of Florida gathers prices based on claims submitted and provided by Pharmacy Benefit Managers (PBMs), who maintain contracts with pharmacies. The prices shown are our best estimate from within the last 30 days. Prices change frequently and we cannot guarantee that the price displayed will exactly match the price you receive at the pharmacy. To find your exact price, please contact the pharmacy using the pharmacy information provided.
The State of Florida and their vendors provides no warranty for any pricing data or other information. All data provided is for informational purposes only and is not meant to be a substitute for professional medical advice, diagnosis, or treatment. Please seek medical advice before starting, changing, or terminating any medication or medical treatment.
If you use different pharmacies to fill your prescriptions, be certain to provide each pharmacist with a list of the prescribed medications you are currently taking to avoid potential contraindications.