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Based on public Medicaid payment data.

Average Medicaid Prescription Medications Payments in Fayetteville, NC: $12.70

Avg. Paid

$12.70

Range

$0.00 โ€“ $241.17

Total Claims

33,024

Providers

83

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 Fayetteville, NC

Provider Avg. Paid Claims Patients
Ezra Lee Mcconnell

557 Sandhurst Dr

$1.73 5,633 473
Daniel Chidi Uba

1905 Skibo Road

$0.52 2,619 2,020
Lori Annette Haigler

1601 Owen Dr

$4.23 1,900 1,659
Kelly Lynn Helton

3601 Cape Center Dr

$46.66 1,846 1,467
Michael George Woodcock

2047 Valleygate Dr

$1.70 1,677 1,048
Kenneth Russell Manning

1638 Owen Dr

$4.25 1,450 623
Connette Pearl Mcmahon

1261 Oliver Street

$39.73 1,422 1,177
Asya Akins

4551 Yadkin Rd

$6.26 1,217 886
Warees Muhammad Warees

1638 Owen Dr

$6.08 1,210 1,151
Tariq Nazir

6387 Ramsey St

$1.55 1,130 333
Andre Felton Hall

3601 Cape Center Drive

$41.20 1,074 821
Michael Reesal Jones

1261 Oliver St

$32.57 964 786
Michael E. Dilello

1991 Fordham Drive

$4.54 890 813
Judit Andrea Cope

4140 Ferncreek Dr Ste 801

$0.50 681 456
Parag Bhattarai

1638 Owen Dr

$5.42 629 573
Shelli L. Brewington

1738 Metromedical Dr

$0.10 623 335
Thomas Davis Miller

1638 Owen Dr

$3.51 586 388
Bradley James Broussard

4140 Ferncreek Dr

$0.33 514 405
Keith Messner

1638 Owen Dr

$6.69 500 466
Fauzia Baqai

1341 Walter Reed Rd

$32.16 487 429
Michael Joseph Kingberg

1638 Owen Dr # 138

$7.63 450 424
Jason C Eck

4140 Ferncreek Dr Ste 801

$0.22 409 313
Samantha Wingo

1261 Oliver St

$52.90 365 252
Lindsey S Cunningham

Fastmed Family Medicine

$2.66 321 246
James Patrick Flanagan

4140 Ferncreek Dr

$0.41 313 237
Judith Haug Borger

1638 Owen Dr

$5.58 310 296
David A Teer

150 Robeson St

$5.25 250 224
Christina C Jones

405 Owen Dr

$0.44 245 132
Simranjit Singh

1357 Walter Reed Rd Ste 101

$1.80 242 152
Olive Nkouaye Leke

1261 Oliver Street

$8.08 241 198
Eric Lemoine Mansfield

2053 Valleygate Dr

$13.22 223 218
Maureen Ngozi Achuko

557 Sandhurst Dr

$241.17 217 80
Hari P Saini

3637 Cape Center Dr

$1.06 197 188
Dorrette Patrice Grant

2573 Ravenhill Dr

$16.07 189 165
Dalia Mohammedtareq Alwasiyah

309 Eclipse Dr

$4.97 141 128
Sajjad Ahmed Malick

1638 Owen Dr

$2.15 135 54
Lan P Tran-Phu

227 Fountainhead Lane

$1.04 123 115
Suriya Bandara Jayawardena

3650 Cape Center Dr

$0.26 111 39
Shawana Avre Faulk

522 Owen Dr

$130.34 106 105
Anthony Keith Sterling

1638 Owen Dr

$2.44 84 83
Eric G B Zellner

2930 Village Dr

$7.24 79 78
Richmond Kwaku Nuamah

557 Sandhurst Dr

$150.33 74 24
Jason B Lowe

4140 Ferncreek Dr

$0.37 69 53
Matthew Harrison Walker

1638 Owen Dr

$0.01 64 47
Shari Ann Del Do

214 Cochran Ave

$3.30 63 55
Stephen Howard Kouba

1219 Walter Reed Rd

$0.32 61 51
Paul Boyd Sparzak

1341 Walter Reed Rd

$9.99 54 44
Daniel E. Mcbrayer

1991 Fordham Drive

$1.93 53 41
Joshua A. Trujillo

1307 Avon St

$0.00 52 52
Christopher John Barnes

1991 Fordham Drive

$4.48 44 37

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 Fayetteville, NC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Fayetteville, NC is $12.70 per claim, based on 33,024 claims from 83 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 Fayetteville, NC?

There are 83 Medicaid providers offering Prescription Medications related services in Fayetteville, NC according to public payment data.

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

Medicaid reimbursement for Prescription Medications in Fayetteville, NC ranges from $0.00 to $241.17 per claim, with an average of $12.70. Private insurance and self-pay costs are typically higher than these Medicaid rates.

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