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Based on public Medicaid payment data.

Average Medicaid Prescription Medications Payments in Dallas, TX: $18.48

Avg. Paid

$18.48

Range

$0.00 โ€“ $715.61

Total Claims

86,247

Providers

127

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 โ€” 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 Dallas, TX

Provider Avg. Paid Claims Patients
Dan Burch

3302 Gaston Ave

$15.16 12 12
Adil Ahmed Husain

7777 Forest Ln Ste C840

$8.14 12 12
Analydia Gutierrez

5315 Ross Ave

$0.17 12 12
Stephen Mark Megison

5323 Harry Hines Blvd

$29.82 12 12
Ronnie Barakat

5323 Harry Hines Blvd

$7.36 13 13
Ryan Mirchel

539 W Commerce St Ste 5577

$0.00 13 12
Esther W Muriuki

3200 S Lancaster Rd Ste 181

$0.56 13 12
Kamel Muhieddine Itani

5323 Harry Hines Blvd

$26.77 13 13
Catherine Lewis Neal

5201 Harry Hines Blvd

$0.44 13 12
Charity Ifunanya Ejiakonye

4323 S Hampton Rd Apt 4225

$0.30 13 12
Hassan Shahidi

8198 Walnut Hill Ln

$0.93 14 13
Annette Albano

8112 Spring Valley Rd

$0.37 14 13
Gustavo Horacio Day

7777 Forest Ln

$0.20 14 12
Renjie Michael Li

13737 Noel Rd

$7.32 15 12
Anne Delisio

5323 Harry Hines Blvd

$1.28 15 15
Pooja Dharwadkar

5201 Harry Hines Blvd

$12.00 15 15
Lisa Ann Ray

7424 Greenville Ave

$65.41 15 14
Lauren Ann Gillory

5323 Harry Hines Blvd

$29.70 15 15
Frank Thomas Dean

3450 W Wheatland Rd Ste 440

$0.00 16 13
Pipeline East Dallas, Llc

9440 Poppy Dr

$1.38 16 14
Karen Marie Massey

7424 Greenville Ave

$52.71 17 14
Anna Suessman

7777 Forest Ln

$2.00 17 16
Ray Hallum Brown

9622 Webb Chapel Rd

$0.15 17 12
Jerry Payikkada George

7777 Forest Ln

$16.66 18 18
Kristina Lopez

9101 N Central Expy

$415.89 20 14
Gonzalo Venegas

1135 N Bishop Ave

$0.46 24 24
James Richard Seaward

1801 Inwood Rd

$29.56 24 24
Caleb Andrew Pierce

5201 Harry Hines Blvd

$0.62 24 12
Karina Marquez

9753 Webb Chapel Rd Ste 900

$0.63 25 25
Elizabeth Briones Anderson

2701 S Hampton Rd

$71.27 25 24
David Reid

5201 Harry Hines Blvd

$2.31 26 24
Esi Quayson

13737 Noel Rd Ste 1500

$2.17 26 25
Ashley Pree

7424 Greenville Ave

$67.69 26 26
Neel Hemant Golwala

12221 Merit Dr

$0.89 27 27
Faisal G Qureshi

5323 Harry Hines Blvd

$32.23 27 25
Craig Andrew Peters

2350 N. Stemmons Freeway

$28.09 28 26
Kesia Nguyen

5323 Harry Hines Blvd

$9.39 28 27
Howard H Nguyen

2261 Singleton Blvd

$0.28 29 27
Nathan Haslam

13737 Noel Rd Ste 1500

$2.07 30 27
Philip Hughston Ewing

5201 Harry Hines Blvd

$17.13 31 28
Joseph T Murphy

5323 Harry Hines Blvd

$26.24 31 24
Steven A Masson

12221 Merit Dr

$3.01 33 24
Cynthia Sanhwa Wang

5323 Harry Hines Blvd

$21.09 33 33
Luis Felipe Colon

8210 Walnut Hill Ln Ste 130

$0.30 34 12
Joshua Ching Sun

5315 Ross Ave

$7.15 34 34
Sal S Sandoval

12222 Merit Dr Ste 600

$9.49 36 32
Bruce Jeremy Schlomer

2350 N Stemmons Fwy

$30.89 37 37
Nirupama Kakarla Desilva

2350 N Stemmons Fwy Ste 5200

$204.10 39 39
Joshua Scott Ginsburg

6201 Harry Hines Blvd

$3.10 40 38
David Thomas Schindel

12200 Park Central Dr Ste 400

$30.41 41 39

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 โ€”
J0120 Tetracyclin injection โ€” โ€” โ€”
J0133 Acyclovir injection โ€” โ€” โ€”
J0202 Injection, alemtuzumab โ€” โ€” โ€”
J0795 Corticorelin ovine triflutal โ€” โ€” โ€”
J1160 Digoxin injection โ€” โ€” โ€”
J1205 Chlorothiazide sodium inj โ€” โ€” โ€”
J1260 Dolasetron mesylate โ€” โ€” โ€”
J1290 Ecallantide injection โ€” โ€” โ€”
J1300 Eculizumab injection โ€” โ€” โ€”
J1301 Injection, edaravone, 1 mg โ€” โ€” โ€”
J1303 Inj., ravulizumab-cwvz 10 mg โ€” โ€” โ€”
J1305 Inj, evinacumab-dgnb, 5mg โ€” โ€” โ€”
J1320 Amitriptyline injection โ€” โ€” โ€”
J1322 Elosulfase alfa, injection โ€” โ€” โ€”
J1327 Eptifibatide injection โ€” โ€” โ€”

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 Dallas, TX?

Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Dallas, TX is $18.48 per claim, based on 86,247 claims from 127 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 Dallas, TX?

There are 127 Medicaid providers offering Prescription Medications related services in Dallas, TX according to public payment data.

What is the price range for Prescription Medications in Dallas, TX?

Medicaid reimbursement for Prescription Medications in Dallas, TX ranges from $0.00 to $715.61 per claim, with an average of $18.48. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Prescription Medications in Other Cities

Other Procedures in Dallas, TX