Average Medicaid Prescription Medications Payments in Phoenix, AZ: $16.15
Avg. Paid
$16.15
Range
$0.00 – $2,162
Total Claims
844,810
Providers
235
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 — 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 Phoenix, AZ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Megan Kwan
8410 W Thomas Rd Ste 134 |
$73.43 | 12 | 12 |
|
Mohammad Abbasian
16620 N 40Th St Ste D1 |
$3.41 | 12 | 12 |
|
Teresa Blaskovich
2601 E Roosevelt St |
$1.00 | 12 | 12 |
|
Suhail Alam
4800 N 22Nd St |
$1,380 | 12 | 12 |
|
Eric J Eross
4530 E Muirwood Dr Ste 111 |
$848.08 | 12 | 12 |
|
Swati S Bharadwaj
4550 E Bell Rd |
$2,162 | 12 | 12 |
|
Matthew Gropler
1919 E Thomas Rd |
$0.00 | 12 | 12 |
|
Ashley Deyoung
1008 E Mcdowell Rd |
$48.17 | 13 | 12 |
|
Duc Annie Minh Nguyen
6601 W Thomas Rd |
$0.84 | 13 | 12 |
|
Robert A Berghoff
3033 N 44Th St Ste 100 |
$3.85 | 13 | 12 |
|
Laura Anne Vogel
2222 E Highland Ave Ste 300 |
$12.34 | 13 | 12 |
|
Ronald H Hyde
337 E Coronado Rd |
$50.21 | 13 | 12 |
|
Saima Chohan
4550 E Bell Rd |
$352.35 | 13 | 12 |
|
Richard P Pearlstein
1010 E Mcdowell Rd Ste 200 |
$0.00 | 13 | 13 |
|
Kristin Schoolman Anderson
1919 E Thomas Rd |
$1.86 | 13 | 13 |
|
Rivi Rose Sacks
500 W Thomas Rd Ste 800 |
$0.15 | 13 | 13 |
|
Karen Gray
1919 E Thomas Rd |
$0.44 | 13 | 13 |
|
Laurie Bell
240 W Thomas Rd # 400 |
$51.27 | 14 | 13 |
|
Joshua Mirrer
370 E Virginia Ave Ste 100 |
$0.09 | 14 | 14 |
|
Alexander Toledo
1919 E Thomas Rd |
$0.86 | 14 | 14 |
|
Kristen Stanley
4137 N 108Th Ave |
$0.88 | 14 | 14 |
|
David Brandon Stone
4530 E Ray Rd |
$1.05 | 15 | 14 |
|
Justin Carmine Wong
2902 W Agua Fria Fwy Ste 1090 |
$9.14 | 15 | 12 |
|
Christine Rocks-Lopez
10240 W Indian School Rd Ste 155 |
$1.93 | 15 | 13 |
|
Daniel Fayard
240 W Thomas Rd # 401 |
$0.58 | 15 | 14 |
|
Rebecca E Brown
1919 E Thomas Rd |
$0.72 | 15 | 13 |
|
Kevin D Han
370 E Virginia Ave Ste 100 |
$0.11 | 15 | 13 |
|
Gina Bates
520 E Bethany Home Rd |
$5.22 | 15 | 13 |
|
Benjamin Craig Seleen
240 W Thomas Rd # 400 |
$92.38 | 16 | 14 |
|
Celeste E Pottorff
1661 E Camelback Rd |
$49.71 | 16 | 13 |
|
Derek Stewart
250 E Dunlap Ave |
$0.00 | 16 | 14 |
|
Steven Maynard Erickson
1320 N. 10Th Street, Suite B |
$0.71 | 18 | 14 |
|
Southwest Kidney Davita Dialysis Partners, Llc
5115 E Thomas Rd |
$631.23 | 18 | 12 |
|
Heidi Martinez
10707 W Camelback Rd |
$67.56 | 18 | 18 |
|
Omar Viswanath
2222 E Highland Ave Ste 110 |
$0.97 | 19 | 17 |
|
Marlene Hildegard Zeller
16630 S 38Th Pl |
$73.34 | 19 | 19 |
|
Matthew P Borst
2222 E Highland Ave Ste 400 |
$3.72 | 21 | 13 |
|
Bio-Medical Applications Of Arizona, Llc
4021 N 30Th St |
$303.35 | 21 | 12 |
|
Katina Marie Summerford
1919 E Thomas Rd |
$11.68 | 23 | 12 |
|
Christina Marie Conrad
1919 E Thomas Rd |
$1.37 | 24 | 24 |
|
Coram Alternate Site Services Inc
4310 E Cotton Center Blvd |
$41.05 | 25 | 13 |
|
Rachel Ortiz
4120 N 108Th Ave # 120 |
$0.82 | 25 | 25 |
|
Chiou-Yan Lai
7725 N 43Rd Ave Ste 510 |
$0.67 | 26 | 26 |
|
Sebastian B Ruggeri
3104 E Indian School Rd |
$4.44 | 26 | 24 |
|
Rima Bharat Patel
1750 E Glendale Ave |
$1,111 | 27 | 25 |
|
Jordan Mackay Graff
4800 N 22Nd St Ste 120 |
$1,252 | 27 | 25 |
|
Scott Michael Easley
500 W Thomas Rd Ste 800 |
$3.76 | 29 | 27 |
|
Karel A Deleeuw
1441 N 12Th St Fl 3 |
$0.74 | 29 | 27 |
|
Joyce J Tetreault
1919 E Thomas Rd |
$1.09 | 29 | 28 |
|
Michael R Hayman
444 W Osborn Rd |
$8.79 | 30 | 29 |
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 | — |
| J0120 | Tetracyclin injection | — | — | — |
| J0133 | Acyclovir injection | — | — | — |
| J0202 | Injection, alemtuzumab | — | — | — |
| J0795 | Corticorelin ovine triflutal | — | — | — |
| J1160 | Digoxin injection | — | — | — |
| J1205 | Chlorothiazide sodium inj | — | — | — |
| J1260 | Dolasetron mesylate | — | — | — |
| J1290 | Ecallantide injection | — | — | — |
| J1300 | Eculizumab injection | — | — | — |
| J1301 | Injection, edaravone, 1 mg | — | — | — |
| J1303 | Inj., ravulizumab-cwvz 10 mg | — | — | — |
| J1305 | Inj, evinacumab-dgnb, 5mg | — | — | — |
| J1320 | Amitriptyline injection | — | — | — |
| J1322 | Elosulfase alfa, injection | — | — | — |
| J1327 | Eptifibatide injection | — | — | — |
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 Phoenix, AZ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Phoenix, AZ is $16.15 per claim, based on 844,810 claims from 235 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 Phoenix, AZ?
There are 235 Medicaid providers offering Prescription Medications related services in Phoenix, AZ according to public payment data.
What is the price range for Prescription Medications in Phoenix, AZ?
Medicaid reimbursement for Prescription Medications in Phoenix, AZ ranges from $0.00 to $2,162 per claim, with an average of $16.15. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Prescription Medications in Other Cities
Milwaukee, WI
Avg $9.22
755,550 claims · 88 providers
Washington, DC
Avg $6.48
675,765 claims · 92 providers
Los Angeles, CA
Avg $61.23
617,979 claims · 282 providers
Louisville, KY
Avg $31.67
601,676 claims · 181 providers
New York, NY
Avg $40.26
587,024 claims · 195 providers
San Diego, CA
Avg $27.34
493,429 claims · 162 providers
Tucson, AZ
Avg $24.34
489,015 claims · 169 providers
Richmond, VA
Avg $24.15
476,311 claims · 71 providers
Other Procedures in Phoenix, AZ
Blood Work & Lab Tests
Avg $4.07
28,642,228 claims
Case Management Services
Avg $37.73
14,607,817 claims
Office Visit
Avg $47.53
13,269,420 claims
Substance Abuse Treatment
Avg $94.34
10,076,493 claims
Personal Care Services
Avg $130.72
9,443,796 claims
Non-Emergency Medical Transportation
Avg $10.65
6,526,097 claims
Urinalysis & Urine Tests
Avg $1.58
4,901,181 claims
Behavioral & Mental Health Therapy
Avg $123.66
4,416,857 claims