Prompt Improver
severity1/claude-code-prompt-improver
This skill enriches vague prompts with targeted research and clarification before execution.
This skill should be used when the user asks for an "open TRx proxy", "SDUD", "Medicaid utilisation", "script trend without IQVIA", "is the launch tracking", "prescription volume for [brand]", or…
Install Sdud Trx Proxy
$ npx skills add hh-health-AI/healthcare-equity --skill sdud-trx-proxy -a claude-codeProject install by default; add -g for ~/.claude/skills/.
$ gh skill install hh-health-AI/healthcare-equity sdud-trx-proxy --agent claude-codeProject scope by default; add --scope user for a personal install. Needs GitHub CLI 2.90.0 or later (public preview).
$ git clone --depth 1 https://github.com/hh-health-AI/healthcare-equity.git skills-src && mkdir -p .claude/skills && cp -r skills-src/modules/rx-utilization/skills/sdud-trx-proxy .claude/skills/sdud-trx-proxy && rm -rf skills-srcUse ~/.claude/skills/ instead of .claude/skills for a personal install. The folder must contain SKILL.md.
Claude Code skills documentation · loads skills from .claude/skills/
Install the "sdud-trx-proxy" agent skill from https://github.com/hh-health-AI/healthcare-equity/tree/main/modules/rx-utilization/skills/sdud-trx-proxy into .claude/skills/sdud-trx-proxy/ in this project. Copy the whole folder (SKILL.md and every file beside it), keep the folder name "sdud-trx-proxy", then confirm the skill loads.Claude Code copies the folder itself, the same result as the manual copy. Check what it changed before you commit it.
$skill-installer install https://github.com/hh-health-AI/healthcare-equity/tree/main/modules/rx-utilization/skills/sdud-trx-proxyType this inside Codex. $skill-installer <name> installs a curated skill from openai/skills. The installer writes to $CODEX_HOME/skills (default ~/.codex/skills). Restart Codex if the skill does not show up.
$ npx skills add hh-health-AI/healthcare-equity --skill sdud-trx-proxy -a codexProject install goes to .agents/skills/; add -g for ~/.codex/skills/.
$ gh skill install hh-health-AI/healthcare-equity sdud-trx-proxy --agent codexProject scope by default (.agents/skills/); add --scope user for a personal install.
$ git clone --depth 1 https://github.com/hh-health-AI/healthcare-equity.git skills-src && mkdir -p .agents/skills && cp -r skills-src/modules/rx-utilization/skills/sdud-trx-proxy .agents/skills/sdud-trx-proxy && rm -rf skills-srcUse ~/.agents/skills/ instead of .agents/skills for a personal install.
Codex skills documentation · loads skills from .agents/skills/
Install the "sdud-trx-proxy" agent skill from https://github.com/hh-health-AI/healthcare-equity/tree/main/modules/rx-utilization/skills/sdud-trx-proxy into .agents/skills/sdud-trx-proxy/ in this project. Copy the whole folder (SKILL.md and every file beside it), keep the folder name "sdud-trx-proxy", then confirm the skill loads.Codex copies the folder itself, the same result as the manual copy. Check what it changed before you commit it.
$ npx skills add hh-health-AI/healthcare-equity --skill sdud-trx-proxy -a cursorProject install goes to .agents/skills/; add -g for ~/.cursor/skills/.
$ gh skill install hh-health-AI/healthcare-equity sdud-trx-proxy --agent cursorProject scope by default (.agents/skills/); add --scope user for a personal install.
$ git clone --depth 1 https://github.com/hh-health-AI/healthcare-equity.git skills-src && mkdir -p .cursor/skills && cp -r skills-src/modules/rx-utilization/skills/sdud-trx-proxy .cursor/skills/sdud-trx-proxy && rm -rf skills-srcUse ~/.cursor/skills/ instead of .cursor/skills for a personal install.
Cursor skills documentation · loads skills from .cursor/skills/, .agents/skills/, .claude/skills/, .codex/skills/
Install the "sdud-trx-proxy" agent skill from https://github.com/hh-health-AI/healthcare-equity/tree/main/modules/rx-utilization/skills/sdud-trx-proxy into .cursor/skills/sdud-trx-proxy/ in this project. Copy the whole folder (SKILL.md and every file beside it), keep the folder name "sdud-trx-proxy", then confirm the skill loads.Cursor copies the folder itself, the same result as the manual copy. Check what it changed before you commit it.
$ gemini skills install https://github.com/hh-health-AI/healthcare-equity.git --path modules/rx-utilization/skills/sdud-trx-proxy--scope user (default) or --scope workspace; --path is the subfolder of the repo that holds the skill; --consent skips the security confirmation prompt.
$ npx skills add hh-health-AI/healthcare-equity --skill sdud-trx-proxy -a gemini-cliProject install goes to .agents/skills/; add -g for ~/.gemini/skills/.
$ gh skill install hh-health-AI/healthcare-equity sdud-trx-proxy --agent gemini-cliProject scope by default (.agents/skills/); add --scope user for a personal install.
$ git clone --depth 1 https://github.com/hh-health-AI/healthcare-equity.git skills-src && mkdir -p .gemini/skills && cp -r skills-src/modules/rx-utilization/skills/sdud-trx-proxy .gemini/skills/sdud-trx-proxy && rm -rf skills-srcUse ~/.gemini/skills/ instead of .gemini/skills for a personal install, then run /skills reload.
Gemini CLI skills documentation · loads skills from .gemini/skills/, .agents/skills/
Install the "sdud-trx-proxy" agent skill from https://github.com/hh-health-AI/healthcare-equity/tree/main/modules/rx-utilization/skills/sdud-trx-proxy into .gemini/skills/sdud-trx-proxy/ in this project. Copy the whole folder (SKILL.md and every file beside it), keep the folder name "sdud-trx-proxy", then confirm the skill loads.Gemini CLI copies the folder itself, the same result as the manual copy. Check what it changed before you commit it.
$ gh skill install hh-health-AI/healthcare-equity sdud-trx-proxyInstalls for Copilot at project scope by default; add --scope user for a personal install. Preview a skill first with gh skill preview. Needs GitHub CLI 2.90.0 or later (public preview).
$ npx skills add hh-health-AI/healthcare-equity --skill sdud-trx-proxy -a github-copilotProject install goes to .agents/skills/; add -g for ~/.copilot/skills/.
$ git clone --depth 1 https://github.com/hh-health-AI/healthcare-equity.git skills-src && mkdir -p .github/skills && cp -r skills-src/modules/rx-utilization/skills/sdud-trx-proxy .github/skills/sdud-trx-proxy && rm -rf skills-srcUse ~/.copilot/skills/ instead of .github/skills for a personal install. Commit .github/skills so cloud agent and code review can use it.
GitHub Copilot skills documentation · loads skills from .github/skills/, .claude/skills/, .agents/skills/
Install the "sdud-trx-proxy" agent skill from https://github.com/hh-health-AI/healthcare-equity/tree/main/modules/rx-utilization/skills/sdud-trx-proxy into .github/skills/sdud-trx-proxy/ in this project. Copy the whole folder (SKILL.md and every file beside it), keep the folder name "sdud-trx-proxy", then confirm the skill loads.GitHub Copilot copies the folder itself, the same result as the manual copy. Check what it changed before you commit it.
$ npx skills add hh-health-AI/healthcare-equity --skill sdud-trx-proxy -a opencodeOpenCode documents no install command of its own. Project install goes to .agents/skills/; add -g for ~/.config/opencode/skills/.
$ gh skill install hh-health-AI/healthcare-equity sdud-trx-proxy --agent opencodeProject scope by default (.agents/skills/); add --scope user for a personal install.
$ git clone --depth 1 https://github.com/hh-health-AI/healthcare-equity.git skills-src && mkdir -p .opencode/skills && cp -r skills-src/modules/rx-utilization/skills/sdud-trx-proxy .opencode/skills/sdud-trx-proxy && rm -rf skills-srcUse ~/.config/opencode/skills/ instead of .opencode/skills for a personal install.
OpenCode skills documentation · loads skills from .opencode/skills/, .claude/skills/, .agents/skills/
Install the "sdud-trx-proxy" agent skill from https://github.com/hh-health-AI/healthcare-equity/tree/main/modules/rx-utilization/skills/sdud-trx-proxy into .opencode/skills/sdud-trx-proxy/ in this project. Copy the whole folder (SKILL.md and every file beside it), keep the folder name "sdud-trx-proxy", then confirm the skill loads.OpenCode copies the folder itself, the same result as the manual copy. Check what it changed before you commit it.
Facts
- Skill name
sdud-trx-proxy- GitHub stars
- 101
- Token cost
- ~940 tokens
- SKILL.md length
- 481 words
- Files
- 2 (incl. references)
- Skills in repo
- 72
- Repo updated
- First seen
- Licence
- MIT
At a glance
This skill should be used when the user asks for an "open TRx proxy", "SDUD", "Medicaid utilisation", "script trend without IQVIA", "is the launch tracking", "prescription volume for [brand]", or…
- Works in 7 steps: Resolve the product to NDCs. A brand… → Pull the series. Run… → Handle suppression before computing… → …
- Asks for an open TRx proxy
- SKILL.md covers Workflow, Reading the series, Not-automatic (carry into the… and Chaining
- Instructions only: no scripts, shell commands, URLs or credentials in SKILL.md
What it does
Sdud Trx Proxy is an agent skill from hh-health-AI/healthcare-equity. This skill should be used when the user asks for an "open TRx proxy", "SDUD", "Medicaid utilisation", "script trend without IQVIA", "is the launch tracking", "prescription volume for [brand]", or wants to validate or invalidate a launch trajectory, biosimilar erosion, or share shift using free CMS data. Also triggers on prompt-library IDs SUB-PHA-03, SUB-PHA-04, SUB-PHA-05.
Its SKILL.md is about 940 tokens, which your agent loads only when the skill is triggered. The skill folder holds 2 other files, including reference files (for example `references/sdud-mechanics.md`).
It sits in AI & LLM Engineering, covering Prompt engineering. The repository describes itself as: Synthesis engine for buy-side healthcare equity research. The licence is MIT.
When your agent uses it
- Asks for an open TRx proxy
- Medicaid utilisation
- Script trend without IQVIA
- Is the launch tracking
Example prompts
- “open TRx proxy”
- “Medicaid utilisation”
- “script trend without IQVIA”
- “/sdud-trx-proxy”
Workflow steps
7 steps, taken from the first numbered list in SKILL.md.
- Resolve the product to NDCs. A brand maps to many NDC-11s (strengths, pack
- Pull the series. Run scripts/sdud_query.py for each NDC across the quarters
- Handle suppression before computing anything. Count state-quarter cells
- Separate price from volume. Total reimbursed ÷ units gives a Medicaid $/unit
- Test the payer-mix assumption. Estimate the brand's Medicaid share from the
- Cross-read against Part D. If the drug has meaningful Medicare exposure, run
- Emit the brief.
What it can do on your machine
Read from SKILL.md and the folder at commit 6c7bda8. It shows what the files ask for, not the result of running them.
Tool permissions
Pre-approves nothing: there is no allowed-tools line, so your agent's usual permission prompts apply.
From allowed-tools in the SKILL.md frontmatter.
Runs code
No scripts in the folder and no shell commands in SKILL.md.
From the folder's file list and the shell code blocks in SKILL.md.
Network
No URLs in SKILL.md.
From URLs in SKILL.md, links to its own repository left out.
Credentials
Names no API keys, tokens, secrets or passwords.
From names ending in _API_KEY, _TOKEN, _SECRET, _KEY or _PASSWORD in SKILL.md.
Context cost
Sdud Trx Proxy loads about 940 tokens when it runs, and up to ~1.6k if it reads all its reference files. Until then it costs about 98 tokens; SKILL.md has 481 words of instructions outside code blocks.
Estimates: characters ÷ 4, the usual rule of thumb; real counts depend on the model's tokenizer. Scripts and assets cost tokens only if the agent reads them.
Safety
Auto-check passed
The automated check found no risky patterns in SKILL.md.
Automated static check — not a guarantee. Review scripts before installing. It scans the text of SKILL.md for risky patterns (piping downloads into a shell, reading credential files, hidden Unicode, destructive commands); files beside SKILL.md are not scanned.
SKILL.md
The full file from hh-health-AI/healthcare-equity at commit 6c7bda8, republished under its MIT licence (© hh-health-AI). 481 words, ~940 tokens.
Download SKILL.mdSave it as
.claude/skills/sdud-trx-proxy/SKILL.md (or your agent's skills folder). This skill also uses 1 other file; get the full folder from GitHub.- name
- sdud-trx-proxy
- description
- This skill should be used when the user asks for an "open TRx proxy", "SDUD", "Medicaid utilisation", "script trend without IQVIA", "is the launch tracking", "prescription volume for [brand]", or wants to validate or invalidate a launch trajectory, biosimilar erosion, or share shift using free CMS data. Also triggers on prompt-library IDs SUB-PHA-03, SUB-PHA-04, SUB-PHA-05.
- metadata.version
- 0.1.0
- metadata.layer
- Commercial
SDUD TRx proxy
Build an open prescription-volume series for a brand or molecule from Medicaid State Drug Utilization Data, then state honestly what it can and cannot support.
Workflow
- Resolve the product to NDCs. A brand maps to many NDC-11s (strengths, pack
sizes, authorised generics). Pull the NDC set from openFDA
/drug/ndc.jsonby brand name and labeller, or from the FDA NDC Directory. Record the labeller code — an authorised generic under a different labeller is a different commercial event and must be tracked as its own series, not folded into the brand. - Pull the series. Run
scripts/sdud_query.pyfor each NDC across the quarters in scope. Aggregate prescriptions, units and total reimbursed by quarter, keeping state granularity in the working table. - Handle suppression before computing anything. Count state-quarter cells returned as suppressed. If suppression exceeds ~20% of contributing states in the earliest quarter of the window, do not report a growth rate off the national sum — compute the trend on a balanced panel of states with continuous non-suppressed history and report it as such.
- Separate price from volume. Total reimbursed ÷ units gives a Medicaid $/unit that reflects pre-rebate reimbursement. It is not net price. Track units for volume and treat dollars as a separate, weaker series.
- Test the payer-mix assumption. Estimate the brand's Medicaid share from the label's indication and the disease's payer skew. Where the company discloses a channel split in filings or at conferences, use it and cite it. Where it does not, say the assumption is unanchored and cap confidence at 0.5.
- Cross-read against Part D. If the drug has meaningful Medicare exposure, run
partd-prescriber-shareand reconcile direction. Two proxies agreeing on direction is materially stronger evidence than either alone; disagreeing is a finding in itself. - Emit the brief.
Show full SKILL.md (183 more words)Show less
Reading the series
- Launch curves. Medicaid uptake typically lags commercial by one to two quarters because of state formulary and PA processes. A flat Medicaid series in launch quarter two is weak evidence of a failing launch; a flat series in quarter six is strong evidence.
- Biosimilar and generic entry. Watch the units split between the reference labeller and entrants, not the aggregate. Medicaid erosion tends to run faster than commercial because state preferred-drug lists switch mechanically.
- Divergence between prescriptions and units usually means a pack-size or dosing change, not a demand change. Check the NDC set before writing it up as volume.
- A step change confined to one or two states is a formulary or PDL event, not a demand event. Name the state.
Not-automatic (carry into the brief)
A SDUD move does not license a national TRx conclusion, a net-revenue conclusion, or a share conclusion against competitors with different payer mixes.
Chaining
a procedure-exposure engine for the denominator · a reimbursement engine where an MFP date sits in the window · your view layer → model-valuation for the revenue line.
Reference: references/sdud-mechanics.md. Contract: ../../references/evidence-brief.md.
© hh-health-AI, MIT. Rendered from Markdown: HTML in the file is shown as text, images as links, and headings moved down two levels. Raw file
Files
SKILL.md and 1 other file (references) in modules/rx-utilization/skills/sdud-trx-proxy of hh-health-AI/healthcare-equity.
- SKILL.md
- references/sdud-mechanics.md
Open the folder on GitHubat commit 6c7bda8
Compare with similar skills
Sdud Trx Proxy next to the 5 skills that share the most tags, products or categories with it. Stars are the repository's; “used in” counts other GitHub owners with a copy.
| Skill | Stars | Used in | Tokens | Auto-check | Licence | Repo updated |
|---|---|---|---|---|---|---|
| Sdud Trx Proxy this skillhh-health-AI/healthcare-equity | 101 | — | ~940 | Automated safety check: Pass | MIT | |
| Prompt Improverseverity1/claude-code-prompt-improver | 1.9k | 1 repos | ~1.7k | Automated safety check: Pass | MIT | |
| Prompt Engineering Patternsynulihao/AgentSkillOS | 618 | 14 repos | ~1.7k | Automated safety check: Pass | None | |
| Patch CreationPiebald-AI/tweakcc | 2.5k | — | ~1.6k | Automated safety check: Pass | MIT | |
| Senior Prompt Engineermaslennikov-ig/claude-code-orchestrator-kit | 260 | 3 repos | ~1.4k | Automated safety check: Pass | Custom licence | |
| Codex Fable5baskduf/FableCodex | 437 | — | ~1.6k | Automated safety check: Pass | AGPL-3.0 |
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Categories
Questions about Sdud Trx Proxy
What does Sdud Trx Proxy do?
This skill should be used when the user asks for an "open TRx proxy", "SDUD", "Medicaid utilisation", "script trend without IQVIA", "is the launch tracking", "prescription volume for [brand]", or…. Sdud Trx Proxy is an agent skill from hh-health-AI/healthcare-equity. This skill should be used when the user asks for an "open TRx proxy", "SDUD", "Medicaid utilisation", "script trend without IQVIA", "is the launch tracking", "prescription volume for [brand]", or wants to validate or invalidate a launch trajectory, biosimilar erosion, or share shift using free CMS data.
When should I use Sdud Trx Proxy?
Sdud Trx Proxy fits situations like: asks for an open TRx proxy; medicaid utilisation; script trend without IQVIA; is the launch tracking.
How do I install Sdud Trx Proxy in Claude Code?
Run `npx skills add hh-health-AI/healthcare-equity --skill sdud-trx-proxy -a claude-code`. Or copy the skill folder (modules/rx-utilization/skills/sdud-trx-proxy in hh-health-AI/healthcare-equity) into .claude/skills/sdud-trx-proxy in your project. Claude Code loads it when a task matches its description.
How do I install Sdud Trx Proxy in Codex?
Run `npx skills add hh-health-AI/healthcare-equity --skill sdud-trx-proxy -a codex`. Or copy the skill folder (modules/rx-utilization/skills/sdud-trx-proxy in hh-health-AI/healthcare-equity) into .agents/skills/sdud-trx-proxy in your project. Codex loads it when a task matches its description.
Can I use Sdud Trx Proxy in Cursor, Gemini CLI or GitHub Copilot?
Cursor, Gemini CLI, GitHub Copilot and OpenCode also load SKILL.md folders. With the skills CLI, run `npx skills add hh-health-AI/healthcare-equity --skill sdud-trx-proxy -a cursor` (or -a gemini-cli, github-copilot or opencode for the others). To copy it by hand, put the folder in .cursor/skills/sdud-trx-proxy, .gemini/skills/sdud-trx-proxy, .github/skills/sdud-trx-proxy and .opencode/skills/sdud-trx-proxy in your project.
What does Sdud Trx Proxy need to run?
SKILL.md names no scripts, command-line tools or credentials: Sdud Trx Proxy is instructions for the agent only.
Does Sdud Trx Proxy access the network?
SKILL.md contains no URLs. Any network use would come from the scripts or tools the agent runs. This is read from the text; nothing was executed.
Is Sdud Trx Proxy safe to install?
Our automated static check of SKILL.md found no risky patterns, such as piping downloads into a shell, reading credential files or hidden Unicode. It is not a guarantee. Review the folder before installing.
What licence does Sdud Trx Proxy use?
Sdud Trx Proxy is published under the MIT licence (the repository's licence). It allows redistribution, so the full SKILL.md is shown on this page.
How many tokens does Sdud Trx Proxy use?
About 940 tokens (SKILL.md is roughly 3.8k characters). Agents keep only the skill's name and description in context until a task matches; then they load SKILL.md in full. Its references folder adds about 685 tokens, read only when the agent opens those files.
What are the alternatives to Sdud Trx Proxy?
Skills that share tags, products or a category with Sdud Trx Proxy: Prompt Improver (severity1/claude-code-prompt-improver, 1.9k stars), Prompt Engineering Patterns (ynulihao/AgentSkillOS, 618 stars), Patch Creation (Piebald-AI/tweakcc, 2.5k stars) and Senior Prompt Engineer (maslennikov-ig/claude-code-orchestrator-kit, 260 stars). The comparison table on this page puts their stars, adoption, token cost, safety result and licence side by side.
Who maintains Sdud Trx Proxy?
hh-health-AI (a GitHub user) maintains it in hh-health-AI/healthcare-equity, which has 101 GitHub stars. The repository holds 72 skills in this directory. The repository was last updated on October 8, 2026.
Source: hh-health-AI/healthcare-equity on GitHub. Facts on this page come from the repository at the commit we read; the author's words are quoted as theirs.