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Based on public Medicaid payment data.

Average Medicaid Prescription Medications Payments in Memphis, TN: $46.55

Avg. Paid

$46.55

Range

$0.00 โ€“ $1,041

Total Claims

229,975

Providers

253

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 Memphis, TN

Provider Avg. Paid Claims Patients
Nawar E Mansour

1325 Eastmoreland Ave

$0.05 23,234 1,882
Methodist Healthcare - Memphis Hospitals

848 Adams Ave

$0.02 19,623 12,008
Arif Showkat

1325 Eastmoreland Ave Ste 445

$13.41 9,543 1,072
Accredo Health Group Inc

1620 Century Center Pkwy Ste 109

$1,041 7,997 7,696
Rehan Shafique

3950 New Covington Pike

$0.60 7,848 650
Methodist Healthcare - Memphis Hospitals

1265 Union Ave

$1.80 7,820 4,724
Omer Asif Siddiqui

1325 Eastmoreland Ave Ste 445

$70.08 7,674 1,761
Tortugas Dialysis Llc

2049 E Shelby Dr

$0.61 6,938 677
Ahsan H Kathawala

1264 Wesley Dr

$1.44 6,186 4,784
Sanjeev Kumar Mittal

6027 Walnut Grove Rd Ste 402

$3.39 6,070 480
David B Cauley

3960 New Covington Pike

$0.23 5,186 4,653
Margaret Colleen Hastings

1325 Eastmoreland Ave Ste 445

$76.80 4,995 1,128
Shahid I Khan

1211 Union Ave

$3.01 4,560 3,801
Hieu Vo

1325 Eastmoreland Ave Ste 445

$81.40 4,354 985
Babu Rao Paidipalli

50 N Dunlap St

$0.01 4,229 4,030
Konrad Tomaz Stepniakowski

6490 Mount Moriah Road Ext

$0.00 4,017 378
Bret R Sokoloff

3980 New Covington Pike #100

$4.67 3,962 3,145
Baptist Memorial Hospital

6019 Walnut Grove Rd

$0.11 3,784 2,563
Imran Mirza

2900 Kirby Rd Ste 5

$0.61 3,708 3,070
Sanjeev Kumar

6584 Poplar Ave

$1.16 3,481 2,254
Rickey R Carson

3030 Covington Pike

$30.44 3,386 2,984
Shoaib Qureshi

7865 Educators Lane,

$0.74 2,940 2,502
Minesh Babul Pathak

3950 New Covington Pike Ste 300

$0.00 2,892 209
Anthony Sheyn

51 N Dunlap St

$0.27 2,828 2,490
Barbara Ella Geater

2245 S Lauderdale St

$2.51 2,503 1,824
Robert Bradley Canada

1325 Eastmoreland Ave Ste 445

$79.75 2,358 617
Jarvis D Reed

1588 Union Ave

$57.46 2,312 1,319
Hassan Amin

2225 Union Ave Ste 100

$0.00 1,769 156
Charonda Lynnice Phifer

2430 Poplar Ave Ste 100

$47.50 1,734 1,469
St Jude Childrens Research Hospital Inc

262 Danny Thomas Pl

$2.70 1,723 795
John Rocco Macmillan Rodney

3030 Covington Pike

$20.26 1,651 1,497
Olugbenga Alaba Adebanjo

1719 Kirby Pkwy

$5.14 1,621 1,329
Owen P. Phillips

6215 Humphreys Blvd Ste 201

$0.35 1,476 1,336
Stephen Lavon Gipson

6005 Park Ave

$0.04 1,452 821
Valarie Kershaw-Berry

6005 Park Ave Ste 826B

$0.23 1,451 1,096
Kathryn Elizabeth Steele

880 Madison Ave

$0.24 1,373 1,172
Cathy S Lane

877 Jefferson Ave

$1.73 1,327 1,048
Shelby County Health Care Corporation

877 Jefferson Ave

$0.06 1,305 820
Michael Gary Martin

100 N Humphreys Blvd

$1.38 1,243 665
Julio Pablo Ruiz

6490 Mount Moriah Road Ext

$0.00 1,203 119
Joseph A Mixon

3960 New Covington Pike

$0.12 1,143 1,070
Kevin B Cleveland

1211 Union Ave Ste 500

$4.74 1,141 836
Valentine Chuks Ozoigbo

1620 S White Station Rd

$0.92 1,087 796
Chantay D Smartt

877 Jefferson Ave

$0.91 1,081 865
Lisa J Mahan

3360 N Watkins St

$2.38 1,040 894
Jennifer Renee Tillery

360 E Eh Crump Blvd

$0.47 930 785
John William Bodford

5959 Park Ave

$0.18 899 819
Perisco A Wofford

4567 Millbranch Rd

$34.14 857 206
Howard Bromley

5683 S Rex Rd

$1.10 843 452
Jerome W Thompson

51 N Dunlap St

$0.10 826 720

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 Memphis, TN?

Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Memphis, TN is $46.55 per claim, based on 229,975 claims from 253 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 Memphis, TN?

There are 253 Medicaid providers offering Prescription Medications related services in Memphis, TN according to public payment data.

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

Medicaid reimbursement for Prescription Medications in Memphis, TN ranges from $0.00 to $1,041 per claim, with an average of $46.55. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Prescription Medications in Other Cities

Other Procedures in Memphis, TN