S1 Dataset. State by quarter by brand panel and analysis files.

Manuscript: Utilization of and gross spending on anti-obesity GLP-1 receptor agonists in state
Medicaid programs, 2021 to 2026: a brand-level analysis of State Drug Utilization Data.
Author: Brian Staiger, PharmD, BCPS. License: CC BY 4.0.

These files are a copy of the openly available Zenodo record doi:10.5281/zenodo.21494203
(concept DOI 10.5281/zenodo.21494202), plus the Table 5 data revised for this resubmission.
Source data: CMS State Drug Utilization Data, accessed July 22, 2026 (public domain).
All dollar amounts are gross reimbursement before manufacturer rebates.

Files:
- glp1_state_quarter_brand_panel.csv: The panel: one row per year, quarter, state, brand, and utilization type (FFSU or MCOU) with prescriptions, units, gross reimbursement (SDUD total amount reimbursed), Medicaid amount reimbursed, and counts of source and suppressed SDUD records. Rows with state code XX are CMS national summary records; exclude them from state-level and national totals.
- brand_ndc_appendix.csv: The brand-to-NDC crosswalk (72 package NDCs) with the source of each NDC: openfda_ndc_directory or sdud_sweep_delisted (recovered by the supplementary search of SDUD by product name).
- national_series.csv: National quarterly prescriptions and gross reimbursement by brand, summed over the 52 states.
- league_table.csv: 2025 prescriptions and gross reimbursement by state and brand (basis of Table 4).
- adoption_by_quarter.csv: Number of states reporting utilization of each brand in each quarter (basis of Table 2).
- suppression_completeness_audit.json: Suppression counts and the supplementary NDC search audit.
- paper02_numbers.json: Every computed value reported in the manuscript and Tables 1 to 4, with the SDUD dataset identifiers and access date.
- README.md: Description of the published Zenodo record.
- pipeline/build_glp1_panel.py: Extraction code: SDUD by NDC to the panel.
- pipeline/sweep_ndc_completeness.py: Supplementary search of SDUD by product name for delisted NDCs.
- pipeline/build_paper02_numbers.py: Analysis code: computes the values in paper02_numbers.json.
- pipeline/glp1_brands_v1.json: Brand definitions, indications, and approval dates used to build the crosswalk.
- pipeline/package_zenodo_record.py: Packaging script for the Zenodo record.
- table5_coverage_changes.csv: Data for Table 5 (documented state coverage changes), revised for the resubmission to include North Carolina's suspension (October 1, 2025) and restoration (December 12, 2025). Computed from the panel.
