Arkansas

Medicare Migraine Prescribing Gap Report

80%

of primary care physicians actively prescribing triptans to Medicare patients in Arkansas have never prescribed a CGRP medication

224gap PCPs
56prescribing CGRPs
280 total active prescribers

How Arkansas compares

Arkansas80%
National average90.4%

Arkansas's 80% gap is 10.4 points below the national average of 90.4%. 224 of 280 primary care physicians with an active Medicare migraine patient panel have never written a CGRP prescription.

Metro breakdown

CityActive prescribersNever prescribed CGRPGap %
Little Rock222195.5%
Fort Smith151386.7%
Hot Springs181266.7%

About the data

Based on CMS Medicare Part D prescribing data — the only publicly available provider-level prescribing dataset in the United States. Active prescriber = 20+ triptan claims in the observation period. Medicare patients represent a subset of the total migraine population; the true gap is likely larger. Full methodology →

What drives the gap

Prior authorization burden is the primary structural explanation for this gap. The Headache Vault's PA Engine helps primary care physicians navigate CGRP prior authorizations in Arkansas and all 50 states — free for all clinicians.

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Citation

Doty A. Migraine Prescribing Gap in Arkansas. The Headache Vault; 2026.
Available at: https://headachevault.com/research/prescribing-gap/arkansas/
Licensed CC BY 4.0.
Data: CMS Medicare Part D Prescriber Public Use Files, 2022-2023.
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