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Based on public Medicaid payment data.

Average Medicaid Prescription Medications Payments in Jackson, TN: $15.42

Avg. Paid

$15.42

Range

$0.00 โ€“ $651.55

Total Claims

62,291

Providers

130

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 Jackson, TN

Provider Avg. Paid Claims Patients
Kandala R. Chary

221 Sterling Farms Drive

$0.42 9,382 791
Whitney Ward Scott

35 W University Pkwy

$1.85 3,897 3,430
Ezekiel Oladejo Adetunji

150 Murray Guard Dr

$0.54 3,428 2,618
Samuel Olaniyi Bada

1673 N Royal St

$0.18 3,162 2,004
William Edward Seely

219 Stonebridge Blvd

$3.83 1,993 1,524
Eric J Homberg

24 Physicians Dr

$6.89 1,927 1,393
Timothy David Sweo

111 Stonebridge Blvd

$7.78 1,907 1,503
Paul Jonathan Smith

587 Mcclellan Rd

$0.98 1,868 1,628
Lacy Rebaka Tisdale

2054 S Highland Ave

$1.57 1,543 1,312
Norma Baker Wood

176C West University Parkway

$2.43 1,539 1,392
William D Bryan

2863 Highway 45 Byp

$71.40 1,415 1,305
Toby Andrew Hampton

110 E Forest Ave

$0.84 1,394 979
April R Downing

8 Stonebridge Blvd Ste M

$1.48 1,085 803
Shanea Nicole Hines

100 Cherrywood Pl

$0.81 1,020 861
Holly Brooke Shourd

31 Hughes Dr

$1.59 984 823
Tammy L Gathings

700 W Forest Ave Ste 300

$2.10 977 883
Susan L Henson

620 Skyline Dr

$1.49 959 840
Kathy Michelle O'Connor-Wray

8 Stonebridge Blvd Ste M

$2.36 852 722
Naji Bourji

17 Centre Plaza Dr

$4.56 793 573
Carol Ann Newman

1605 S Highland Ave

$0.58 785 728
Kandarp B Patel

86 Stonebridge Blvd

$0.64 784 676
Earnest Lee Murray

700 W Forest Ave

$651.55 777 556
Lindsey Rayborn

27A Medical Center Dr

$2.18 751 669
Kimberlie A Simpson

23 Independence Ln

$1.80 720 633
Mohsin T Alhaddad

327 Summar Dr

$2.55 711 659
Erin Williams

176 W University Pkwy Ste C

$3.69 668 595
Shane Paul Dunaway

24 Physicians Dr

$3.04 663 474
Keith Douglas Nord

111 Stonebridge Blvd

$8.17 640 530
Tony Ray Emison

804 N Parkway

$81.26 632 520
Lisa Dawn Booth

145 Innovation Dr

$2.89 618 532
Lucius F Wright

700 W Forest Ave

$100.83 584 159
Corey Amanda Page

621 Old Hickory Blvd

$3.09 576 471
Lauren Hopper

4078 Brownsville Hwy

$1.24 548 462
Celena Terri Perry

176 W University Pkwy Ste C

$4.85 525 489
Desiree Danielle Holland

409 Walker Rd Ste B

$1.63 518 454
Jayme Leke Walker

176C W University Pkwy # C

$4.07 512 425
Kelly D Pucek

24 Physicians Dr

$1.85 461 343
Christopher Lee May

24 Physicians Dr

$5.20 440 343
M Narapareddy

221 Sterling Farm Dr

$0.00 437 37
Scott R Johnson

2859 Highway 45 Byp

$9.53 426 331
Drew Michael Freeman

24 Physicians Dr

$6.12 421 332
Lisa Morris

1385 S Highland Ave Ste B1

$0.89 398 310
Judy B. Bain

1022 Greystone Sq

$2.38 354 282
Suzanne Rae Morris

620 Skyline Dr

$1.12 332 233
William T Mclemore

24 Physicians Dr

$5.57 328 247
Jackson Madison County Regional Health Department

804 North Parkway

$68.92 321 292
Heather N Mcfarland

621 Old Hickory Blvd Ste G

$4.73 317 265
Nicholas G Vance

24 Physicians Drive

$6.02 303 267
Lowell F Stonecipher

24 Physicians Dr

$4.23 240 175
Dum Livinus Piawa

17 Centre Plaza Dr

$3.47 228 161

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 Jackson, TN?

Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Jackson, TN is $15.42 per claim, based on 62,291 claims from 130 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 Jackson, TN?

There are 130 Medicaid providers offering Prescription Medications related services in Jackson, TN according to public payment data.

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

Medicaid reimbursement for Prescription Medications in Jackson, TN ranges from $0.00 to $651.55 per claim, with an average of $15.42. Private insurance and self-pay costs are typically higher than these Medicaid rates.

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