Based on public Medicaid payment data.

Average Medicaid Prescription Medications Payments in Charlotte, NC: $49.73

Avg. Paid

$49.73

Range

$0.00 – $1,368

Total Claims

138,341

Providers

197

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 Charlotte, NC

Provider	Avg. Paid	Claims	Patients
Barbara Jean Shaffer 8800 N Tryon St	$27.00	12	12
Michael Mollo 1000 Blythe Blvd	$1.87	12	12
Manish Navnitlal Patel 1225 Harding Pl	$2.80	12	12
Puneet Kumar Aggarwal 1100 Blythe Blvd	$1.06	12	12
Brittany Alston 335 N Caswell Rd	$7.48	12	12
Sarah Weihmiller 1000 Blythe Blvd	$5.83	12	12
Emily Haynes Cooper 10310 Mallard Creek Rd Ste 101-D	$23.13	12	12
Colin O'Neill 1000 Blythe Blvd	$2.70	12	12
Sharmetris K Watkins 15830 Ballantyne Medical Pl	$50.33	12	12
Adrienne Elizabeth Wiggins-Metcalf 325 Hawthorne Ln Ste 200	$74.93	12	12
Natalie Anne Ayres 1000 Blythe Blvd	$0.00	12	12
Hollace Marie Disser 1000 Blythe Blvd	$4.02	12	12
Thomas Jackson Vandiver 150 Providence Rd	$79.98	12	12
Lorene Atkins Temming 905 Kenilworth Ave	$2.21	12	12
Ryan David Hart 1000 Blythe Blvd	$5.79	12	12
John Fitzgerald Perrin 501 S Sharon Amity Rd Ste 300	$1.13	12	12
Teresa D Haggard 335 N Caswell Rd	$25.89	13	13
Kristina A Wheeler 1915 Randolph Rd	$8.63	13	12
Nina Livia Shander 2001 Vail Ave	$1.49	13	13
Charquise Theresa Scott 9325 Jw Clay Blvd	$0.67	13	12
Elissabeth Paige Martin Hagler 1000 Blythe Blvd	$3.15	13	13
James Peter Deering 7825 Ballantyne Commons Pkwy Ste 150	$14.68	13	12
Mecklenburg County 249 Billingsley Rd	$0.00	13	12
Iman Abdallah Tamimi 11516 Providence Rd	$7.28	13	12
Jon-David Hoppenfeld 2001 Randolph Rd	$1.82	13	12
Adrian Jay Elfersy 6035 Fairview Rd	$0.00	13	12
Brantley Dantzler Busbee 8800 N Tryon St	$3.64	14	14
Galen Grayson 817 E Morehead St	$2.85	14	14
Benjamin Covell 1000 Blythe Blvd	$4.68	14	14
John Joseph Marcel 449 North Wendover Rd Ste A	$30.08	14	13
Porshia Marie Tomlin 501 S Sharon Amity Rd Ste 300	$10.39	15	13
Paul Jay Orland 1918 Randolph Rd Ste 300	$0.00	15	12
Stephen Ward Hildebrand 8800 N Tryon St	$3.34	15	13
Michael William Bryant 8800 N Tryon St	$2.10	16	12
Swaroop Sadashiv Gonchikar 2001 Randolph Rd	$14.67	16	15
Scott Ivan Riley 1000 Blythe Blvd	$0.28	17	12
John R Blumer 6035 Fairview Rd	$8.36	18	16
Chelita Kaye Kelley 1801 Rozzelles Ferry Rd	$1.76	19	19
David Charles Alexander Fisher 1025 Morehead Medical Dr	$3.36	19	15
April Maryam Kaiser 1805 Milton Rd	$0.38	20	14
David M Owens 801 E 4Th St	$0.32	21	13
The Charlotte-Mecklenburg Hospital Authority 8800 N Tryon St	$0.03	22	12
Natasha Ann Adams-Denny 11530 Providence Rd	$29.02	23	15
Arlette F Owens-Mosley 5500 Executive Center Dr Ste 132	$1.60	24	14
Lisa Atlas Candon 2700 Coltsgate Rd Ste 204	$8.16	24	24
Michael J. Kennelly 1225 Harding Pl	$961.90	25	24
Jerry Dale Nix 501 S Sharon Amity Rd Ste 300	$14.73	25	25
Kevin Warren Greer 1900 Randolph Rd	$1.39	25	25
Jonathan Peter French 8201 Healthcare Loop Ste 201	$30.12	26	26
Hugh M Lovejoy 2325 W Arbors Dr	$1.62	26	24

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 Charlotte, NC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Charlotte, NC is $49.73 per claim, based on 138,341 claims from 197 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 Charlotte, NC?

There are 197 Medicaid providers offering Prescription Medications related services in Charlotte, NC according to public payment data.

What is the price range for Prescription Medications in Charlotte, NC?

Medicaid reimbursement for Prescription Medications in Charlotte, NC ranges from $0.00 to $1,368 per claim, with an average of $49.73. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Prescription Medications Payments in Charlotte, NC: $49.73

Providers Offering Prescription Medications in Charlotte, NC

What to Expect: Prescription Medications

Cost Components

Frequently Asked Questions

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Other Procedures in Charlotte, NC

Office Visit

Emergency Room Visit

Blood Work & Lab Tests

Dental Cleaning & Exam

Vaccines & Immunizations

Psychiatric Evaluation

X-Ray

Speech Therapy