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Based on public Medicaid payment data.

Average Medicaid Prescription Medications Payments in Lima, OH: $10.83

Avg. Paid

$10.83

Range

$0.00 โ€“ $777.95

Total Claims

39,881

Providers

53

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 Lima, OH

Provider Avg. Paid Claims Patients
Mercy Health-St Ritas Medical Center Llc

730 W Market St

$0.15 19,638 10,793
Lima Memorial Joint Operating Company

1001 Bellefontaine Ave

$7.28 9,769 5,609
West Central Ohio Group Ltd.

801 Medical Dr

$0.04 4,127 2,703
John P Lapurga

801 Medical Drive

$0.78 1,356 1,071
Aleksey A Prok

1003 Bellefontaine Ave Ste 100

$3.13 1,009 957
Meredith Warnecke

830 W High St Ste 101

$68.40 568 525
Warren Calvin Morris

441 E 8Th St

$34.23 335 152
Derik Scribner

770 W High St Ste 160

$452.82 314 121
Courtney Fike

830 W High St Ste 101

$79.68 228 207
Brittany Horvath

1001 Bellefontaine Ave

$0.03 202 189
Christopher M Davis

730 W Market St

$0.04 177 167
Kimberly Lee Brocklehurst

2195 Allentown Rd

$13.28 161 78
Andrea Renee Leopold Brinkman

2969 Blue Jacket Court

$0.00 160 149
Kurt Alan Kuhlman

939 W Market St

$777.95 125 114
Kayla Herrera

1 Spartan Way

$0.15 124 68
Mark G Mcdonald

801 Medical Dr

$0.00 118 110
Anuj M Shah

801 Medical Dr Ste A

$2.37 113 88
Rhonda J Medina

1220 E Elm St Ste 101

$85.10 97 93
Tyra Louise Meyer

2969 Blue Jacket Court

$0.00 96 91
Health Partners Of Western Ohio

441 E 8Th St

$0.00 83 56
Stephanie Nicole Casey

730 W Market St

$0.10 79 72
Yaser Hamwi

730 W Market St

$0.00 78 39
Health Partners Of Western Ohio

1550 N Main St

$0.00 76 46
Gerald Szelagowski

801 Medical Dr Ste B

$0.15 68 66
Michelle Coates

1005 Bellefontaine Ave Ste 175

$20.20 58 57
Craig Alan Nicholson

2751 Fort Amanda Rd

$0.04 56 53
Kara Marie Kahle

441 E 8Th St

$48.59 54 25
Todd J Hixenbaugh

658 W Market St Ste 201

$0.08 46 40
Sampath Medepalli

730 W Market St

$0.01 46 44
Sarah Elizabeth Kavalauskas

2335 Baton Rouge

$0.19 43 24
Nathan Travis Vermillion

1001 Bellefontaine Ave

$0.00 43 42
Allison Marie Douglas

830 W High St Ste 101

$85.91 42 39
Kyle Anderson

801 Medical Dr

$0.00 36 33
Troy Warnecke

801 Medical Dr

$11.41 31 28
Matthew Thomas Owens

770 W High St Ste 160

$749.33 31 26
Maurice K Chung

310 S Cable Rd

$0.07 29 25
Kevin David Erhart

801 Medical Dr Ste A

$13.57 26 14
Tammy A Parker

1001 Bellefontaine Ave

$0.00 26 26
Courtney E. Baller

329 N West St

$6.32 19 13
Jamil Khan

730 W Market St

$0.00 17 12
Jessica M Schierloh

1001 Bellefontaine Ave

$0.00 16 16
Abigail Leigh Anspach

750 W High St

$9.46 16 15
Sarah E. Kreider

830 W High St Ste 101

$90.72 15 14
Jeremy James Heffner

1003 Bellefontaine Ave

$0.00 15 13
Jordan Lehman

801 Medical Dr Ste A

$9.91 15 12
Jo Ann Mc Dorman

1005 Bellefontaine Ave Ste 100

$1.77 14 13
Elizabeth Read Rumschlag

830 W High St Ste 101

$83.24 13 13
Jared Rigali

801 Medical Dr

$8.78 13 12
Nathan T Hensley

801 Medical Dr

$0.00 12 12
Fadi Abbass

1220 E Elm St Ste 106

$0.00 12 12

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 Lima, OH?

Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Lima, OH is $10.83 per claim, based on 39,881 claims from 53 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 Lima, OH?

There are 53 Medicaid providers offering Prescription Medications related services in Lima, OH according to public payment data.

What is the price range for Prescription Medications in Lima, OH?

Medicaid reimbursement for Prescription Medications in Lima, OH ranges from $0.00 to $777.95 per claim, with an average of $10.83. Private insurance and self-pay costs are typically higher than these Medicaid rates.

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