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    URSA-PHARM-023: Percent of Fills with Generic Medication
    • 27 Jun 2025
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    URSA-PHARM-023: Percent of Fills with Generic Medication

    • Updated on 27 Jun 2025
    • 5 Minutes to read
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    Article summary

    Measure Description

    Among all outpatient pharmacy fills, the percent with a generic medication

    Metadata

    • Measure Type: Rate Measure
    • Temporal Structure: Event
    • Component Class: Normal-Form
    • Denominator Case Field: Document ID
    • Target Direction: Up

    Denominator Description

    All outpatient fills

    Numerator Description

    Outpatient fills for generic medications, based on the plan designation or, if that isn't documented, the designation in the NDC reference data

    Published Fields

    • Data Model Keys

      • Document ID
      • Patient ID
      • Filling Provider ID
      • Prescribing Provider ID
      • Lifetime Medication Treatment Episode ID

    • Operations Support Fields

      • Prescription Number

    • Patient Fields

      • Patient Date of Birth
      • Patient Age Integer
      • Patient Age Category Tier 1
      • Patient Age Category Tier 2
      • Patient Sex Category
      • Is Patient Sex Female
      • Is Patient Sex Male
      • PCP Attribution Category
      • Primary Care Engagement Category
      • Specialty Care Engagement Category
      • Count Specialty Care Office Visits in Last 36 Months
      • Primary or Specialty Care Engagement Category
      • Count Clinician Office Visits in Last 3 Years
      • Count Hospital Inpatient Admissions in Last 12 Months
      • Count ED Visits Without Inpatient Admissions in Last 12 Months

    • Date Fields

      • Filled Date
      • Filled Date Year
      • Segment Start Date -- The start date of the reporting segment. (See also [URSA-CORE] Reporting Segment)
      • Segment End Date -- The end date of the reporting segment. (See also [URSA-CORE] Reporting Segment)

    • Provider Fields

      • Prescribing Provider NPI
      • Filling Provider NPI
      • Is Filling Provider Specialty Pharmacy
      • Is Filling Provider Mail Order Pharmacy
      • Filling Provider Description
      • Provider Fill Volume Percentile Rank
      • Provider Fill Volume Quintile Category
      • Is Filling Provider Major Chain
      • Filling Provider Major Chain Description
      • Filling Provider State Abbreviation
      • Filling Provider ZIP Code 5-Digit
      • Count Primary Care Visits in Last 36 Months
      • Count Distinct Filling Providers Last 12 Months
      • Count Distinct Prescribing Providers Last 12 Months
      • Empirical Attributee PCP Provider NPI
      • Empirical Attributee PCP Provider Description
      • Empirical Attributee Primary Care Provider Group Provider NPI
      • Empirical Attributee Primary Care Provider Group Provider Description
      • Count Visits with Attributee Individual Primary Care Provider in Last 36 Months
      • Count Visits with Attributee Primary Care Provider Group in Last 36 Months

    • Location Fields

      • Patient State Abbreviation
      • Patient ZIP Code 5-Digit
      • UW HIP ADI Quintile Category
      • CDC SVI Overall Quintile Category

    • Insurance Fields

      • Primary Payor Description
      • Primary Plan Description
      • Primary Plan Financial Class Description
      • Is Primary Plan Financial Class Commercial
      • Is Primary Plan Financial Class Medicare Advantage
      • Is Primary Plan Financial Class Medicaid
      • Count Active Plan Memberships

    • Medication Fields

      • NDC Code 11-Digit
      • Label Description
      • Is Generic
      • Is Single Source
      • Is OTC
      • Red Book Generic Cross Reference Code
      • Active Ingredients Description
      • Red Book Generic Formulation Code
      • Primary Agent Description
      • Form Description
      • Route of Administration Description
      • Quantity Dispensed
      • Days Supply
      • Days Supply Category Tier 1 Description
      • Is Single Day Supply
      • Is 30 Days Supply
      • Is 90 Days Supply
      • AHFS Therapeutic Class Code 6-Digit
      • AHFS Therapeutic Class Tier 1 Description
      • Count of Fills in Last 12 Months Category

    • Diagnosis Fields

      • CCW Count Category
      • Count CCW Conditions
      • Is CCW Asthma
      • Is CCW CKD
      • Is CCW COPD and Bronchiectasis
      • Is CCW Depression
      • Is CCW Diabetes
      • Is CCW Heart Failure
      • Is CCW Schizophrenia or Other Psychotic Disorders
      • Is CCW Bipolar Disorder
      • Is CCW Acquired Hypothyroidism
      • Is CCW Acute Myocardial Infarction
      • Is CCW ADHD, Conduct Disorders, and Hyperkinetic Syndrome
      • Is CCW Alzheimers Disease
      • Is CCW Alzheimers Disease and Related Disorders or Senile Dementia
      • Is CCW Anemia
      • Is CCW Anxiety Disorders
      • Is CCW Atrial Fibrillation
      • Is CCW Autism Spectrum Disorder
      • Is CCW Benign Prostatic Hyperplasia
      • Is CCW Blindness and Visual Impairment
      • Is CCW Breast Cancer
      • Is CCW Cataract
      • Is CCW Cerebral Palsy
      • Is CCW Colorectal Cancer
      • Is CCW Cystic Fibrosis and Other Metabolic Disorder
      • Is CCW Deafness and Hearing Impairment
      • Is CCW Depressive Disorders
      • Is CCW Endometrial Cancer
      • Is CCW Epilepsy
      • Is CCW Fibromyalgia and Chronic Pain and Fatigue
      • Is CCW Glaucoma
      • Is CCW Hip or Pelvic Fracture
      • Is CCW Hyperlipidemia
      • Is CCW Hypertension
      • Is CCW Intellectual Disability
      • Is CCW Ischemic Heart Disease
      • Is CCW Learning Disability
      • Is CCW Leukemia
      • Is CCW Lung Cancer
      • Is CCW Migraine and Chronic Headache
      • Is CCW Mobility Impairment
      • Is CCW Multiple Sclerosis
      • Is CCW Muscular Dystrophy
      • Is CCW Obesity
      • Is CCW Osteoporosis
      • Is CCW Other Developmental Delay
      • Is CCW Personality Disorder
      • Is CCW Pressure or Chronic Ulcer
      • Is CCW Prostate Cancer
      • Is CCW PTSD
      • Is CCW PVD
      • Is CCW Rheumatoid Arthritis or Osteoarthritis
      • Is CCW Schizophrenia
      • Is CCW Stroke or Transient Ischemic Attack
      • CCW Systems Category
      • Count CCW Systems
      • Is CCW System Behavioral Health
      • Is CCW System Cardiovascular
      • Is CCW System Congenital
      • Is CCW System Endocrine/Metabolic
      • Is CCW System Genitourinary
      • Is CCW System Hematologic
      • Is CCW System Musculoskeletal
      • Is CCW System Neurological
      • Is CCW System Oncologic
      • Is CCW System Ophthalmologic
      • Is CCW System Pulmonary
      • Is CCW System Other

    • Financial Fields

      • Total Paid Amount
      • Plan Paid Amount
      • Patient Paid Amount
      • COB Paid Amount
      • Is Total Paid >= 1k
      • Medication Plan Paid Amount in Last 12 Months
      • Medication Patient Paid Amount in Last 12 Months
      • Total Medication Paid Amount Last 12 Months
      • Cumulative Calendar Year Rx Plan Paid Amount
      • Cumulative Calendar Year Rx Patient Paid Amount

    • Measure Fields

      • Denominator
      • Numerator

    • Module Fields

      • Is Targeted Medication Type
      • Is Chronic Medication
      • Is Priority Adherence Medication
      • Priority Adherence Medication Category
      • Is Antidepressant
      • Is Antineoplastic
      • Is Antidiabetic
      • Is Oral Antidiabetic
      • Is Oral ACEI/ARB
      • Is Statin
      • Is Beta Blocker
      • Is High Risk Medication
      • High Risk Medication Category
      • Is Anticoagulant
      • Is Oral Antiplatelet
      • Is Cardiac Glycosides
      • Is Oral Hypoglycemic
      • Is Insulin
      • Is Opiate Agonists
      • Is Medication Included in PDC Measures
      • PDC Medication Category
      • Is Sacubitril/Valsartan
      • Count Distinct Opioid Prescribing Providers in Last 6 Months
      • Count Distinct Opioid Filling Providers in Last 6 Months
      • Count Distinct Opioid Prescribing Providers in Last 12 Months
      • Count Distinct Opioid Filling Providers in Last 12 Months
      • Is Patient with any Active Chronic Medications
      • Count of Fills Last 12 Months
      • Count Opioid Fills in Last 6 Months
      • Count Opioid Fills in Last 12 Months
      • Aggregate Opioid Days Supply in Last 6 Months
      • Aggregate Opioid Days Supply in Last 12 Months
      • Medication Management Trigger Category
      • Is Patient with Active Medication Management Trigger
      • Count Active Medication Management Trigger Categories
      • Is High Medication Spend
      • Is Very High Medication Spend
      • Is High Number of Prescribing Providers
      • Is High Number of Filling Providers
      • Is Multiple Opioid Prescribing Providers Last 6 Months
      • Is Multiple Opioid Filling Providers Last 6 Months
      • Is Active Chronic Opioid Episode
      • Is High Number of Chronic Medications
      • Count Active Chronic Medications
      • Active High Risk Medication Episode Category
      • Is Any Active High Risk Medication Episode
      • Count Active High Risk Medication Types
      • Count Active Oral Antiplatelets
      • Count Active Anticoagulants
      • Count Active Cardiac Glycosides
      • Count Active Opioids
      • Count Active Oral Hypoglycemics
      • Count Active Insulins
      • Active Priority Adherence Medication Type Category
      • Is Any Priority Adherence Medication Active
      • Count Active Priority Adherence Medications
      • Count Active Priority Medication Types
      • Count Active Antidepressants
      • Count Active Antidiabetics
      • Count Active Oral Antidiabetics
      • Count Active Antineoplastics
      • Count Active Beta Blockers
      • Count Active Oral ACEI/ARBs
      • Count Active Statins
      • Active PDC Medication Type Category
      • Is Patient with Any Active PDC Medications
      • Count Active PDC Medication Types
      • Is Active Oral Antidiabetic PDC Medication
      • Is Active Oral ACEI/ARB PDC Medication
      • Is Active Statin PDC Medication
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