2019 US Prescription Sales

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2019 Retail Sales for Prescription Drugs Filled at Pharmacies by Payer | KFF
LocationCommercialMedicareMedicaidCashTotal
United States$200,617,588,532$146,039,353,255$52,185,955,495$8,272,155,586$407,115,052,868
Alabama$3,841,183,189$2,866,372,241$658,716,972$228,792,659$7,595,065,062
Alaska$404,518,801$213,197,153$120,477,106$19,013,310$757,206,371
Arizona$4,360,433,864$3,368,239,547$1,322,376,762$154,829,721$9,205,879,893
Arkansas$2,194,684,915$1,534,404,710$414,326,319$126,995,200$4,270,411,143
California$13,487,501,922$12,662,770,488$5,630,593,319$744,984,994$32,525,850,723
Colorado$3,254,105,945$2,035,231,874$1,340,616,079$112,687,452$6,742,641,348
Connecticut$2,171,184,015$1,890,350,250$1,280,026,341$74,818,156$5,416,378,763
Delaware$763,525,680$661,367,891$282,049,941$18,779,848$1,725,723,360
District of Columbia$454,505,979$251,057,984$222,977,046$16,949,309$945,490,319
Florida$13,662,683,788$11,887,491,932$1,652,828,382$647,572,196$27,850,576,298
Georgia$7,446,728,553$4,982,467,293$1,031,885,917$330,423,620$13,791,505,382
Hawaii$635,187,989$439,296,221$154,587,280$24,780,753$1,253,852,242
Idaho$987,558,477$634,499,487$219,494,762$52,393,201$1,893,945,927
Illinois$9,802,514,399$6,424,908,351$2,089,212,044$320,431,719$18,637,066,513
Indiana$4,545,673,309$3,318,070,192$1,250,134,579$150,039,894$9,263,917,975
Iowa$1,785,323,729$1,235,631,239$510,889,122$63,519,313$3,595,363,402
Kansas$2,553,673,952$1,413,472,522$362,350,653$78,503,370$4,408,000,497
Kentucky$3,529,541,464$2,795,731,812$1,558,039,008$148,504,033$8,031,816,317
Louisiana$3,319,586,333$2,353,202,552$1,410,121,950$154,374,801$7,237,285,636
Maine$698,352,101$723,942,045$245,160,073$21,781,511$1,689,235,729
Maryland$3,745,257,673$1,845,880,002$945,377,281$119,310,108$6,655,825,064
Massachusetts$3,381,894,436$3,113,521,928$1,458,991,554$96,948,168$8,051,356,086
Michigan$5,847,330,051$4,772,946,804$1,964,210,637$235,972,169$12,820,459,660
Minnesota$3,129,833,818$1,805,603,189$794,870,233$135,858,414$5,866,165,654
Mississippi$2,287,683,271$1,699,680,671$294,679,202$153,036,059$4,435,079,204
Missouri$4,054,316,273$3,177,730,862$1,014,077,552$142,086,422$8,388,211,110
Montana$391,073,890$339,258,041$204,634,618$33,263,481$968,230,030
Nebraska$1,401,617,090$821,317,704$227,402,682$51,656,548$2,501,994,025
Nevada$1,815,919,973$1,148,338,178$533,602,342$64,002,117$3,561,862,610
New Hampshire$734,895,697$514,066,103$150,272,912$23,644,676$1,422,879,387
New Jersey$6,416,294,623$3,608,552,224$1,187,956,977$229,624,970$11,442,428,793
New Mexico$1,292,191,606$914,597,977$219,716,625$37,590,896$2,464,097,104
New York$12,132,713,325$10,286,744,386$4,550,523,309$455,447,254$27,425,428,273
North Carolina$7,594,008,057$5,591,558,633$1,717,233,370$276,718,101$15,179,518,162
North Dakota$331,415,867$156,908,518$41,526,647$60,004,912$589,855,944
Ohio$7,198,350,346$5,293,647,071$2,929,063,134$195,238,480$15,616,299,030
Oklahoma$2,935,155,383$1,843,689,949$506,304,590$99,289,047$5,384,438,969
Oregon$1,966,848,413$1,651,711,500$534,319,325$91,265,379$4,244,144,617
Pennsylvania$6,051,278,596$5,226,140,647$1,930,303,101$327,255,865$13,534,978,210
Rhode Island$576,738,627$447,888,422$223,484,144$17,661,940$1,265,773,132
South Carolina$3,520,337,485$2,736,792,481$474,376,249$137,564,686$6,869,070,901
South Dakota$422,441,776$297,147,153$64,317,211$28,953,046$812,859,186
Tennessee$6,227,766,063$4,594,008,076$1,319,518,811$237,168,280$12,378,461,230
Texas$19,698,657,276$11,785,441,250$2,738,546,034$926,129,911$35,148,774,471
Utah$2,442,570,119$891,929,967$247,837,323$80,160,643$3,662,498,053
Vermont$241,379,709$273,479,232$149,293,222$7,762,793$671,914,956
Virginia$5,597,205,076$2,702,689,750$856,841,529$186,019,829$9,342,756,183
Washington$3,621,992,687$2,291,585,001$862,518,265$131,030,374$6,907,126,327
West Virginia$1,158,271,736$1,139,020,856$648,073,297$51,550,453$2,996,916,342
Wisconsin$4,131,169,038$3,192,655,535$1,594,592,836$127,481,777$9,045,899,186
Wyoming$372,512,154$183,115,359$44,626,832$22,283,726$622,538,071

Notes
Data shown here are for calendar year 2019 and are based on the IQVIA National Prescription Audit (NPA™) database.  Data represent sales for 93% of retail prescription drugs dispensed at the state level; these data have been projected to represent 100% of retail prescription drug sales. Sales data include amounts paid by plans and patients as well as any dispensing fees. Retail pharmacies include independent pharmacies, chain pharmacies, food stores, and mass merchandisers. Prescriptions dispensed in clinics, hospitals, physicians’ offices, or pharmacies within a closed health care system are not included. 
Data do not include rebates for any payer. 
Data may not sum to total due to rounding.

Sources
[IQVIA](https://www.iqvia.com/); Special Data Request, 2020.
https://www.kff.org/health-costs/state-indicator/total-sales-for-retail-rx-drugs/?currentTimeframe=0&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D
Definitions
*Commercial:* Includes prescriptions covered by commericial payers as well as some government programs, such as the Children’s Health Insurance Program (CHIP), Veterans Administration (VA) and Indian Health Service.
*Medicare:* Includes prescriptions covered by Medicare Part D plans
*Medicaid:* Includes prescriptions covered by Medicaid fee-for-service and Medicaid managed care plans.  
*Cash:* Prescriptions paid for by cash only, with no payer involved in the reimbursement. This includes prescriptions filled by uninsured patients as well as insured patients paying cash for prescriptions.