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Based on public Medicaid payment data.

Average Medicaid Prescription Medications Payments in Albuquerque, NM: $113.98

Avg. Paid

$113.98

Range

$0.00 – $1,807

Total Claims

349,747

Providers

142

Typical Payment Range

Typical Medicaid Prescription Medications payments fall between $0.68 and $14.54 per claim (median: $2.87). The top 10% of payments exceed $78.92.

Based on per-provider averages across all Medicaid claims in this category.

Prescription drug costs and pharmacy services covered under Medicaid. Includes brand-name and generic medications across all therapeutic categories.

Understanding these costs

The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.

Providers Offering Prescription Medications in Albuquerque, NM

Provider Avg. Paid Claims Patients
Joanne Elaine Greer

8300 Constitution Ave Ne

 $1.34 12 12
Morgan Q Loberg

Msc10 5560

 $0.89 12 12
Dhyana Velasco

4705 Montgomery Blvd Ne Ste 301

 $107.78 12 12
Rachael Leah Horner

1 University Of New Mexico

 $17.70 12 12
Jessica Johnston

3401 4Th St Nw

 $0.48 12 12
Lucille Nichele Martinez

201 Cedar St Se

 $92.03 13 13
Tania Kraai

Unm Hospital Otolaryngology

 $5.15 13 13
Amanda Christine Renfro

3820 Commons Ave Ne

 $1.28 13 12
Pamela O Black

3820 Commons Ave Ne

 $7.93 14 12
Zhi Xu

2211 Lomas Blvd Ne

 $0.00 14 14
Chenwi Ambe

8300 Constitution Ave Ne

 $0.42 14 14
Jennifer Hali Enoch

6900 Gonzales Rd Sw

 $64.50 16 16
Marcella Jean Knauf

Msc10 5620

 $8.08 17 14
Neehar R Kundurti

Msc Pediatric Emergency Medicine

 $3.81 17 15
Michael Scott Seligson

4343 Pan American Fwy Ne

 $633.32 18 13
Bethany J Barrow

10511 Golf Course Rd Nw Ste 201

 $92.80 24 24
Edward Michael Lewiecki

300 Oak St Ne

 $315.28 26 25
Sabeen Yaqub

4901 Lang Ave Ne

 $1.13 28 25
Damen Michael Sacoman

4700 Jefferson St Ne Ste 800

 $7.90 28 26
Jayce Powell

5150 Journal Center Blvd Ne

 $6.52 28 28
Elizabeth Kirk

6701 Jefferson St Ne

 $0.24 30 30
Sarah Cham Sante

Msc 11 6025

 $0.00 30 29
Thomas Gladson Grace

8301 Spain Rd Ne

 $7.75 30 28
Joshu Alan Raiten

500 Walter St Ne

 $0.79 32 29
Luzma Cardona

Unm Hospital Neurology

 $450.45 33 24
Juhee Sidhu

4901 Lang Ave Ne

 $1.20 34 27
Jeannett Martinez

123 Girard Blvd Se

 $0.64 35 32
Willis H. Kephart

4705 Montgomery Blvd Ne

 $92.98 38 37
Terry Leonid Hansen

201 Cedar St Se Ste 6600

 $3.70 38 38
Kimberly Archuleta

Pmg San Mateo

 $94.34 39 39
Edward Poon

3860 Masthead St Ne

 $0.10 42 41
Ellen J Marder

Unm Clinical Neuroscience Center 2211 Lomas Blvd Ne

 $440.18 42 26
Laurel Wolcott

1503 4Th St Nw

 $70.03 42 42
Nancy A Baltus

9551 Paseo Del Norte Ne

 $1.15 43 42
Vanessa Nicole Romero

1648B Alameda Blvd Nw

 $1.11 44 43
Jacqueline Hill

1 University Of New Mexico # 95030

 $1.30 46 43
Paul Allen Brittain

715 Dr Martin Luther King Jr Ave Ne Ste 102

 $1.05 50 36
Katrine Ann Mitchell

10511 Golf Course Road Nw, Suite 103

 $0.13 52 50
Martin Manansala

Msc 10 6000 1 University Of New Mexico

 $1.49 55 55
Caitlyn Montana Duran

2211 Lomas Blvd Ne

 $0.62 58 57
Kimberly Marie Streu

1723 Truman St Ne

 $0.37 60 59
Yang Wang

8300 Constitution Ave Ne

 $1.08 60 37
Jason Wilson

2211 Lomas Blvd Ne

 $5.34 70 69
Robert Lin

4901 Lang Ave Ne

 $1.38 71 54
Zachary Haas

8080 Academy Rd Ne Ste C

 $5.91 71 66
Mahmood Reza Vaezzadeh

4705 Montgomery Blvd Ne

 $0.00 72 72
Jessica Megan Chen Ming

1004 Columbia Dr Ne

 $4.55 75 75
Aroboyi Veronica Rhodes

9501 Paseo Del Norte Ne Ste C

 $0.96 81 63
Nicole Ann Badillo

4010 Montgomery Blvd Ne

 $36.04 84 83
Brent Frame

5111 Juan Tabo Blvd Ne

 $1.21 91 75

What to Expect: Prescription Medications

Medicaid covers most medically necessary prescription medications. Your copay is typically $0-3 for generic drugs and $0-5 for brand-name drugs. Some medications require prior authorization. Most prescriptions can be filled at any participating pharmacy. Mail-order pharmacy may be available for maintenance medications. 90-day supplies may be available for chronic conditions.

Cost Components

National average Medicaid payment per billing code. Individual rates vary by provider and state.

Code Description Avg. Paid Claims Providers
J1100 Dexamethasone sodium phos $3.37 17,408,335 19,920
J1270 Injection, doxercalciferol $16.67 15,455,545 1,785
J0696 Ceftriaxone sodium injection $4.52 8,442,343 9,869
J1170 Hydromorphone injection $3.20 6,069,586 3,002
J1200 Diphenhydramine hcl injectio $3.10 5,922,771 3,790
J0690 Cefazolin sodium injection $5.07 4,950,109 2,942
J1050 Medroxyprogesterone acetate $38.04 2,722,661 5,740
J0131 Inj, acetaminophen (nos) $15.79 2,017,135 1,612
J1030 Methylprednisolone 40 mg inj $5.08 1,577,497 4,461
J0882 Darbepoetin alfa, esrd use $63.10 1,115,197 646
J1040 Methylprednisolone 80 mg inj $6.39 1,102,119 2,895
J0585 Injection,onabotulinumtoxina $534.00 949,108 1,450
J0702 Betamethasone acet&sod phosp $9.01 907,372 2,580
J0780 Prochlorperazine injection $4.11 869,130 1,089
J0178 Aflibercept injection $802.42 747,781 1,182
J0171 Adrenalin epinephrine inject $5.61 533,091 956
J0897 Denosumab injection $708.53 175,698 394
J1071 Inj testosterone cypionate $3.01 121,666 206
J0636 Inj calcitriol per 0.1 mcg $2.19 94,974 28
J0885 Epoetin alfa, non-esrd $82.64 88,458 179
J1020 Methylprednisolone 20 mg inj $3.48 88,065 344
J0881 Darbepoetin alfa, non-esrd $149.52 63,199 108
J0878 Daptomycin injection $167.80 55,762 36
J1245 Dipyridamole injection $5.21 54,912 138
J0592 Buprenorphine hydrochloride $15.56 48,440 32
J0153 Adenosine inj 1mg $18.75 46,321 143
J0670 Inj mepivacaine hcl/10 ml $0.91 37,668 90
J0129 Abatacept injection $1,614 34,397 89
J0735 Clonidine hydrochloride $6.85 32,191 92
J0610 Calcium glucon (fresenius) $9.34 31,253 88
J0135 Adalimumab injection $738.85 28,382 35
J1094 Inj dexamethasone acetate $2.39 27,586 144
J0717 Certolizumab pegol inj 1mg $2,072 22,279 41
J0697 Sterile cefuroxime injection $0.94 18,132 47
J0256 Alpha 1 proteinase inhibitor $2,389 16,156 1
J1250 Inj dobutamine hcl/250 mg $6.92 14,579 60
J0588 Incobotulinumtoxin a $295.98 10,950 18
J1325 Epoprostenol injection $636.33 9,713 5
J1240 Dimenhydrinate injection $0.02 8,738 12
J1000 Depo-estradiol cypionate inj $11.84 1,738 11
J1230 Methadone injection $4.00 1,439 2
J1212 Dimethyl sulfoxide 50% 50 ml $175.32 1,145 5
J1265 Dopamine injection $2.67 840 1
J0132 Acetylcysteine injection $0.11 814 6
J0834 Inj., cosyntropin, 0.25 mg $60.82 696 6
J1120 Acetazolamid sodium injectio $8.30 446 4
J0713 Inj ceftazidime per 500 mg $8.01 398 5
J0698 Cefotaxime sodium injection $0.61 371 9
J0775 Collagenase, clost hist inj $9,463 323 1
J0207 Amifostine $23.74 42 —
J0120 Tetracyclin injection — — —
J0133 Acyclovir injection — — —
J0202 Injection, alemtuzumab — — —
J0795 Corticorelin ovine triflutal — — —
J1160 Digoxin injection — — —
J1205 Chlorothiazide sodium inj — — —
J1260 Dolasetron mesylate — — —
J1290 Ecallantide injection — — —
J1300 Eculizumab injection — — —
J1301 Injection, edaravone, 1 mg — — —
J1303 Inj., ravulizumab-cwvz 10 mg — — —
J1305 Inj, evinacumab-dgnb, 5mg — — —
J1320 Amitriptyline injection — — —
J1322 Elosulfase alfa, injection — — —
J1327 Eptifibatide injection — — —

These are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.

Frequently Asked Questions

How much does a Prescription Medications cost in Albuquerque, NM?

Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Albuquerque, NM is $113.98 per claim, based on 349,747 claims from 142 providers. Typical payments fall between $0.68 and $14.54. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.

How many providers offer Prescription Medications in Albuquerque, NM?

There are 142 Medicaid providers offering Prescription Medications related services in Albuquerque, NM according to public payment data.

What is the price range for Prescription Medications in Albuquerque, NM?

Medicaid reimbursement for Prescription Medications in Albuquerque, NM ranges from $0.00 to $1,807 per claim, with an average of $113.98. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Prescription Medications in Other Cities

Phoenix, AZ

Avg $16.15

844,810 claims · 235 providers

Milwaukee, WI

Avg $9.22

755,550 claims · 88 providers

Washington, DC

Avg $6.48

675,765 claims · 92 providers

Los Angeles, CA

Avg $61.23

617,979 claims · 282 providers

Louisville, KY

Avg $31.67

601,676 claims · 181 providers

New York, NY

Avg $40.26

587,024 claims · 195 providers

San Diego, CA

Avg $27.34

493,429 claims · 162 providers

Tucson, AZ

Avg $24.34

489,015 claims · 169 providers

Other Procedures in Albuquerque, NM

Home Health Visit

Avg $77.97

7,316,567 claims

Blood Work & Lab Tests

Avg $15.20

6,028,360 claims

Substance Abuse Treatment

Avg $34.24

5,929,577 claims

Office Visit

Avg $72.81

3,965,435 claims

Psychiatric Evaluation

Avg $90.10

2,021,597 claims

Emergency Room Visit

Avg $154.16

1,757,889 claims

Dental Cleaning & Exam

Avg $30.77

1,525,323 claims

Physical Therapy

Avg $47.20

1,452,324 claims