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Based on public Medicaid payment data.

Average Medicaid Prescription Medications Payments in Orlando, FL: $50.90

Avg. Paid

$50.90

Range

$0.00 โ€“ $1,139

Total Claims

28,996

Providers

143

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 Orlando, FL

Provider Avg. Paid Claims Patients
Nathan Bernard Hill

4125 Hunters Park Ln

$7.50 6,378 3,943
Accredo Health Group Inc

6272 Lee Vista Blvd

$410.97 2,767 830
Adventist Health System-Sunbelt, Inc

601 E Rollins St

$2.10 1,930 1,650
Sergio S Cervantes

13535 Nemours Pkwy

$23.65 850 804
Glenn S. Kanamori

1717 S Orange Ave Ste 100

$20.56 816 765
Jerome Clayton

7727 Lake Underhill Rd

$0.00 742 550
Cedric V Pritchett

13535 Nemours Pkwy

$27.36 665 636
David B Moats

7148 Curry Ford Rd

$0.06 662 512
James David Moser

1717 S Orange Ave

$22.71 640 610
Pamela I Ellsworth

13535 Nemours Pkwy

$26.90 518 494
Margaret Sonya Abraham

821 Herndon Ave Unit 141436

$48.34 482 411
Rodrigo C Silva

401 N Mills Ave Ste C

$10.30 478 431
Ayodeji B Otegbeye

5900 S John Young Pkwy

$0.01 448 385
Kelly Jean Cramm

92 W Miller St

$0.00 412 397
Maika Toussaint

11500 University Blvd

$45.16 368 297
Jorge L. Vazquez

1140 S Semoran Blvd

$0.00 355 293
Theresa Maria Medina

111 N Orange Ave Ste 800

$21.36 329 254
Joshua Koplon

1414 Kuhl Ave # Mp31

$0.62 323 301
Roberto Jose Diaz Balzac

7727 Lake Underhill Rd

$0.00 319 281
Thomas B Ruffin

651 N Alafaya Trl

$0.45 299 292
Ryan Thomas Barlow

601 E Rollins St

$0.21 284 260
Rut Ester Almonte Ceron

89 W Copeland Dr

$34.77 275 219
Charles Anthony Hughes

1720 S Orange Ave Ste 200

$0.25 264 216
Tracey Lee

2501 N Orange Ave Ste 411

$15.48 236 216
Jacqueline Ann Redlin

726 S Tampa Ave

$71.63 235 226
Javan Jonathon Nation

401 N Mills Ave Ste C

$13.94 231 215
Yanica Ricketts

11500 University Blvd

$33.99 230 169
Benjamin Keonboh Rhee

1725 Cook Ave

$0.00 222 215
Vanessa Nieves

5767 Curry Ford Rd

$0.16 214 130
Brian Alexander Braithwaite

60 Columbia St Ste 400

$0.74 203 159
Whitney Brooke Shidler

1116 Lucerne Ter

$47.07 199 161
Andrea A Parker

89 W Copeland Dr

$55.20 198 195
Patricia Louise Ambrosio

5900 S John Young Pkwy

$0.00 190 183
Adline M Horta Velazquez

1140 S Semoran Blvd

$0.00 188 161
Pablo Gomez

615 E Princeton St

$0.00 183 178
Nicole Mailloux

1414 Kuhl Ave # Mp31

$1.11 181 136
Efren A Salinero

1014 W Harvard St

$0.00 173 169
Zachary S Stinson

13535 Nemours Pkwy

$37.15 172 160
Kyle Christian Bukowski

11500 University Blvd Ste B

$74.70 165 159
Francisco Rafael Oquendo

1140 S Semoran Blvd

$0.01 164 128
Bryan David Brown

1222 S Orange Ave

$4.54 163 102
Ryan Anthony Lawless

1335 Sligh Blvd

$0.00 158 140
Jose Ramirez

601 E Rollins St

$0.00 149 147
Andrew Little

7727 Lake Underhill Rd

$1.06 137 126
Vincent Ellis Kirkpatrick

89 W Copeland Dr

$5.25 132 131
Russell Shipman

13535 Nemours Pkwy

$0.03 132 124
Coral Candelario-Velazquez

100 W Gore St Ste 600

$63.19 131 67
Chrissy Louis-Jean

4901 Vineland Rd

$58.15 129 118
Diana Cardona-Grau

1725 Cook Ave

$0.00 120 117
Monique Elizabeth Williams

83 W Miller St

$0.00 119 115

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 Orlando, FL?

Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Orlando, FL is $50.90 per claim, based on 28,996 claims from 143 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 Orlando, FL?

There are 143 Medicaid providers offering Prescription Medications related services in Orlando, FL according to public payment data.

What is the price range for Prescription Medications in Orlando, FL?

Medicaid reimbursement for Prescription Medications in Orlando, FL ranges from $0.00 to $1,139 per claim, with an average of $50.90. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Prescription Medications in Other Cities

Other Procedures in Orlando, FL