Average Medicaid Prescription Medications Payments in Tucson, AZ: $24.34
Avg. Paid
$24.34
Range
$0.00 – $2,118
Total Claims
489,015
Providers
169
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 Tucson, AZ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Tucson Medical Center
5301 E Grant Rd |
$0.01 | 111,486 | 89,464 |
|
Banner - University Medical Center Tucson Campus Llc
1625 N Campbell Ave |
$7.86 | 87,730 | 65,326 |
|
Banner - University Medical Center South Campus Llc
2800 E Ajo Way |
$2.23 | 41,646 | 35,736 |
|
Northwest Hospital Llc
6200 N La Cholla Blvd |
$0.02 | 38,801 | 33,484 |
|
Smsj Tucson Holdings Llc
350 N Wilmot Rd |
$0.01 | 29,692 | 24,301 |
|
Smsj Tucson Holdings Llc
1601 W Saint Marys Rd |
$0.01 | 23,820 | 20,050 |
|
Dva Renal Healthcare Inc
6420 E Broadway Blvd |
$0.00 | 16,534 | 1,401 |
|
Dva Renal Healthcare Inc
2024 E Irvington Rd |
$0.00 | 15,624 | 1,249 |
|
Dva Renal Healthcare Inc
3662 S 16Th Ave |
$0.00 | 13,785 | 1,113 |
|
Dva Renal Healthcare Inc
7490 S Camino De Oeste |
$0.00 | 12,568 | 1,106 |
|
Northwest Tucson Dialysis Llc
2945 W Ina Rd |
$0.00 | 11,565 | 879 |
|
Dva Renal Healthcare Inc
1780 W Anklam Rd |
$0.00 | 10,677 | 974 |
|
Barton Dialysis Llc
2901 E Grant Rd |
$0.00 | 9,236 | 776 |
|
Stephen Allen Shiller
1501 N. Campbell Ave. |
$2.06 | 8,419 | 6,929 |
|
Dialysis Clinic Inc.
1011 E Pennsylvania St |
$7.12 | 7,111 | 770 |
|
Emil H Annabi
6840 E Broadway Blvd |
$2.18 | 4,719 | 3,798 |
|
Richard A Chase
2450 E River Rd |
$1.06 | 3,205 | 2,675 |
|
Thomas A Coury
6585 N Oracle Rd |
$1.32 | 3,047 | 2,737 |
|
Donald Lee Hair
1704 W Anklam Rd |
$0.33 | 2,746 | 2,547 |
|
El Rio Santa Cruz Neighborhood Health Center, Inc
839 W Congress St |
$0.16 | 2,263 | 2,114 |
|
Sean Garrity
6561 E Carondelet Dr |
$1,351 | 2,179 | 1,996 |
|
Gabriele M Koschorke
1501 N Campbell Ave |
$2.15 | 1,898 | 1,594 |
|
Francisco R Valdivia
2450 E River Rd |
$804.62 | 1,260 | 1,157 |
|
Tina Melinda Chavez
2800 E Ajo Way Ste 100 |
$162.22 | 1,252 | 999 |
|
Frank John Laudonio
8140 E Galinda Dr |
$65.30 | 1,199 | 1,133 |
|
Scott D Goorman
5301 E Grant Rd |
$9.22 | 1,112 | 973 |
|
Andrew Mark Braunstein
5301 E Grant Rd |
$5.12 | 1,046 | 964 |
|
Young Min Song
2450 E River Rd |
$770.58 | 986 | 894 |
|
W Horace Noland
2450 E River Road |
$685.04 | 979 | 908 |
|
John S Lawall
3838 N. Campbell Avenue |
$334.44 | 972 | 533 |
|
El Rio Santa Cruz Neighborhood Health Center, Inc
225 W Irvington Rd |
$0.00 | 953 | 898 |
|
Mark Kim Walsh
6561 E. Carondelet Dr. |
$975.76 | 938 | 862 |
|
Anthony Joseph
6561 E Carondelet Dr |
$992.03 | 937 | 806 |
|
Amy P Tees
2450 E River Rd |
$694.70 | 817 | 766 |
|
Yeeck Sim
2450 E River Rd |
$815.19 | 709 | 664 |
|
Mark Alan Tiffany
4601 E Broadway Blvd |
$0.32 | 700 | 441 |
|
Shamudheen Mohammed Rafiyath
10350 E Drexel Rd Ste 204&210 |
$1.89 | 609 | 350 |
|
Guillermo Gonzalez
3945 E Paradise Falls Dr Ste 105 |
$1.05 | 581 | 336 |
|
Dialysis Clinic Inc.
2022 E Prince Rd |
$60.47 | 547 | 171 |
|
Ryan K Wong
6585 N. Oracle Rd |
$1,036 | 513 | 480 |
|
Aaron Roberts
5301 E Grant Rd |
$0.91 | 510 | 487 |
|
Joel R Goode
5301 E Grant Rd |
$5.71 | 507 | 477 |
|
Kenneth A Babbitt
3770 S 16Th Ave |
$1.67 | 507 | 436 |
|
Terry H Vondrak
5700 E Pima St |
$0.92 | 458 | 430 |
|
Steven A. Shapiro
6320 N La Cholla Blvd |
$4.65 | 381 | 360 |
|
Bradley Paul Norris
395 N Silverbell Rd Ste 101 |
$6.77 | 364 | 335 |
|
Ahmed Mohammed Fouad Abdelaziz
603 N Wilmot Rd Ste 151 |
$0.88 | 355 | 246 |
|
Aung Bajaj
603 N Wilmot Rd Ste 151 |
$0.65 | 340 | 216 |
|
Gretchen Jo Anne Crawford
1925 W Orange Grove Rd Ste 307 |
$4.76 | 298 | 262 |
|
Andreas Gonzalez
6561 E Carondelet Dr |
$1,014 | 298 | 289 |
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 Tucson, AZ?
Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Tucson, AZ is $24.34 per claim, based on 489,015 claims from 169 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 Tucson, AZ?
There are 169 Medicaid providers offering Prescription Medications related services in Tucson, AZ according to public payment data.
What is the price range for Prescription Medications in Tucson, AZ?
Medicaid reimbursement for Prescription Medications in Tucson, AZ ranges from $0.00 to $2,118 per claim, with an average of $24.34. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Prescription Medications in Other Cities
Phoenix, AZ
Avg $16.15
844,810 claims · 235 providers
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
Richmond, VA
Avg $24.15
476,311 claims · 71 providers
Other Procedures in Tucson, AZ
Case Management Services
Avg $33.22
5,915,648 claims
Substance Abuse Treatment
Avg $40.42
5,677,967 claims
Office Visit
Avg $46.43
5,463,316 claims
Blood Work & Lab Tests
Avg $2.95
2,730,604 claims
Personal Care Services
Avg $181.32
2,175,875 claims
Emergency Room Visit
Avg $160.21
2,175,628 claims
Physical Therapy
Avg $34.35
1,681,838 claims
Dental Cleaning & Exam
Avg $16.59
1,430,398 claims