India is experiencing the increase in the burden of cardiovascular diseases. In the year 2016, cardiovascular diseases alone contributed to 28.1%(95% UI 26·5–29·1) of the mortality and 14.1% (12·9–15·3) of the DALYs (Disability adjusted life years).In the year 2013, WHO developed the targets for prevention and control of NCDs (Non-Communicable Diseases). A secondary data analysis was done. Passbook data was used for utilization of cardiovascular drugs for public sector and IMS sales audit data for utilization in private sector. The WHO ATC/DDD methodology was used to assess the utilization of cardiovascular drugs, expressed in form of DIDs (DDDs (defined daily dose) per 1000 inhabitants per day). Overall utilization of oralcardiovascular drugs in Tamil Nadu was 50.36 DIDs. Utilization of injectables was 3.45 DIDs. Utilization of oral cardiovascular drugs in private sector was four times the utilization of oral drugs in public sector.