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Based on public Medicaid payment data.

Average Medicaid Prescription Medications Payments in Germantown, TN: $9.11

Avg. Paid

$9.11

Range

$0.00 โ€“ $67.43

Total Claims

31,063

Providers

66

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 Germantown, TN

Provider Avg. Paid Claims Patients
Shiva Shankar Natarajan

7645 Wolf River Cir

$17.62 12 12
Richard Evan Swift

7945 Wolf River Blvd

$1.18 13 12
Michael Ulm

7945 Wolf River Blvd

$1.19 14 12
David Lorne Cannon

1400 S Germantown Rd

$5.15 15 12
David E Buechner

7695 Poplar Pike

$2.99 16 15
Frederick M Azar

1400 S Germantown Rd

$10.73 18 14
Thomas Warren Ratliff

7945 Wolf River Blvd

$0.50 19 12
Sylvia S Richey

7945 Wolf River Blvd

$0.34 20 13
Campbell Clinic, Pc

1400 S Germantown Rd

$0.00 21 12
Brandi Crowe Harmon

7945 Wolf River Blvd

$0.71 21 12
Amy N Kaiser

7460 Wolf River Blvd

$0.13 23 16
David Elliot Fingerhut

1432 Kimbrough Rd

$67.43 28 12
Suzanne M Grooms

9047 Poplar Ave Ste 105

$1.88 28 26
Claire C Ellender

7655 Poplar Ave Ste 240

$0.40 29 26
Thomas Ward Throckmorton

1400 S Germantown Rd

$6.82 40 27
Mallory Mcgoff Dixon

1324 Wolf Park Dr

$0.00 46 41
Kristen Thelen

1400 S Germantown Rd

$7.95 48 45
Jason Porter

7945 Wolf River Blvd

$0.86 49 30
Ramakrishna Battini

7945 Wolf River Blvd

$0.72 53 38
Ronald D Lawson

7945 Wolf River Blvd

$0.94 62 26
Amber June Wade

7945 Wolf River Blvd

$0.39 63 29
Linda M Smiley

7945 Wolf River Blvd

$0.87 65 46
Liangping Weng

7945 Wolf River Blvd

$0.21 68 44
Andrew H Crenshaw

1400 S Germantown Rd

$3.49 70 43
William M. Mihalko

1400 S Germantown Rd

$2.62 78 58
Yasmean Maher Taha

9301 Poplar Ave

$3.74 80 76
John R Crockarell

1400 S Germantown Rd

$8.47 87 65
Axel Grothey

7945 Wolf River Blvd

$0.46 99 66
Scott L Baum

7945 Wolf River Blvd

$0.72 116 96
Wesley Owen

1400 S Germantown Rd

$8.09 116 94
Leonard Jefferson Harris

7945 Wolf River Blvd

$0.25 118 107
Tunja Rash

7691 Poplar Ave

$1.05 126 100
Albert Earle Weeks

7655 Poplar Ave Ste 340

$1.75 133 61
Mark T Jobe

1400 S Germantown Rd

$5.86 137 106
Abigail R Hill

7656 Poplar Pike

$0.20 140 108
Ashwini K Jha

7691 Poplar Ave

$1.11 147 122
Joseph Murphy Gleason

1325 Wolf Park Dr Ste 102

$0.00 165 161
Lauren Hill

1400 S Germantown Rd

$2.33 181 160
Daniel Alberto Vaena

7945 Wolf River Blvd

$0.72 184 109
Anthony Andrew Mascioli

1400 S Germantown Rd

$6.53 204 165
Hilary Khalid

7148 Donnington Dr

$0.03 257 243
Jennifer Mitchell Miller

2120 Exeter Rd Ste 250

$2.35 287 249
Matthew Kyle Bills

1400 S Germantown Rd

$5.03 326 231
Todd D Tillmanns

7945 Wolf River Boulevard

$1.62 337 203
Santos F Martinez

1400 S Germantown Rd

$4.79 348 271
Darren Lemar Johnson

1695 Neshoba Trace Cv

$0.00 362 330
Gregory Vidal

7945 Wolf River Blvd

$1.65 402 206
Adam Christopher Elnaggar

7945 Wolf River Blvd

$0.81 482 258
Robert A Johnson

7945 Wolf River Boulevard

$0.65 488 309
Syed Sameer Nasir

7945 Wolf River Blvd

$16.71 504 198

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 Germantown, TN?

Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Germantown, TN is $9.11 per claim, based on 31,063 claims from 66 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 Germantown, TN?

There are 66 Medicaid providers offering Prescription Medications related services in Germantown, TN according to public payment data.

What is the price range for Prescription Medications in Germantown, TN?

Medicaid reimbursement for Prescription Medications in Germantown, TN ranges from $0.00 to $67.43 per claim, with an average of $9.11. Private insurance and self-pay costs are typically higher than these Medicaid rates.

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