Average Medicaid Prescription Medications Payments in Tucson, AZ: $24.34
Avg. Paid
$24.34
Range
$0.00 โ $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 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 Tucson, AZ
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Smsj Tucson Holdings, Llc
5620 W Cortaro Farms Rd |
$0.00 | 12 | 12 |
|
Steven Michael Luzader Prust
4881 E Grant Rd Ste 101 |
$0.10 | 12 | 12 |
|
Diana Curd
899 N Wilmot Rd Ste D6 |
$0.06 | 12 | 12 |
|
Julissa Ochoa-Buck
3690 S Park Ave Ste 805 |
$0.58 | 12 | 12 |
|
Sharme Walker
3662 W Ina Rd Ste 150 |
$14.34 | 12 | 12 |
|
Peter Cole Merrill
2163 W Orange Grove Rd |
$0.22 | 12 | 12 |
|
Chad Aaron Hills
5301 E Grant Rd |
$0.62 | 12 | 12 |
|
Joshua J Limon
3770 S 16Th Ave |
$9.49 | 12 | 12 |
|
Raymond Taetle
603 N Wilmot Rd |
$0.82 | 13 | 12 |
|
Kristen Lehmbeck
2300 N Rosemont Blvd |
$70.44 | 13 | 13 |
|
Anna Christine Nelson-Moseke
655 E River Rd Ste 201 |
$72.86 | 13 | 13 |
|
Robin L Giles
7494 N. La Cholla Blvd. |
$67.60 | 13 | 13 |
|
Elaine M. Walker
7831 E Wrightstown Rd |
$1.10 | 13 | 13 |
|
Lilia F Sen
6565 E Carondelet Dr Ste 300 |
$81.23 | 13 | 13 |
|
Nina Waber
1500 N Wilmot Rd |
$0.29 | 13 | 12 |
|
Jacob Wannemacher
1501 N Campbell Ave |
$2.10 | 14 | 13 |
|
Lara Alonso
3662 W Ina Rd Ste 150 |
$0.18 | 14 | 12 |
|
Glenn E. Nelson
2308 N Rosemont Blvd |
$0.07 | 14 | 12 |
|
Jacqueline Claire Spera
3838 N Campbell Ave, Bldg 2 |
$112.43 | 15 | 13 |
|
Eric G Cornidez
4582 N 1St Ave |
$0.56 | 15 | 14 |
|
Frank A Reiser
350 N Wilmot Rd |
$0.00 | 15 | 15 |
|
Walter Calvin Damper
4881 E Grant Rd |
$8.21 | 16 | 12 |
|
Philip Olona
5301 E Grant Rd |
$6.21 | 16 | 15 |
|
Antony Denard
2300 S Houghton Rd Ste 140 |
$0.88 | 17 | 12 |
|
Kyung Jang Chen
5301 E. Grant Rd. |
$1.55 | 17 | 16 |
|
Maria Sifontes
9348 E Rita Rd |
$0.68 | 17 | 12 |
|
Sreekanth Vasireddy
2070 W Rudasill Rd Ste 130 |
$0.88 | 17 | 12 |
|
Acacia Packer
3043 W Ina Rd Ste 115 |
$0.70 | 19 | 15 |
|
Diego H Calonje
1951 N Wilmot Rd |
$1,142 | 24 | 24 |
|
Jolene Clark Hardy
1555 E River Rd |
$11.24 | 25 | 12 |
|
Richard K Rosenberg
2070 W Rudasill Rd |
$1.34 | 25 | 12 |
|
Jill Weinstein
1305 N Marticn |
$59.39 | 25 | 25 |
|
Raquel M. Mercado Sepulveda
1500 N Wilmot Rd Ste C260 |
$51.78 | 26 | 26 |
|
David Charles Hatch
2308 N Rosemont Blvd |
$0.09 | 27 | 25 |
|
Zeno Pfau
2163 W Orange Grove Rd |
$22.75 | 27 | 25 |
|
Manish Mansukhlal Shah
1501 N Campbell Ave |
$43.06 | 27 | 26 |
|
Kathryn Elizabeth Bradley
2626 E River Rd |
$225.64 | 28 | 25 |
|
Christopher Michael Untch
630 N Alvernon Way |
$0.28 | 29 | 27 |
|
Dustin Cunningham
6200 N La Cholla Blvd |
$0.00 | 29 | 27 |
|
Carlos Reyes
1704 W Anklam Rd |
$129.34 | 31 | 27 |
|
Marana Health Center, Inc
2355 N Wyatt Dr Ste 101 |
$0.00 | 32 | 26 |
|
Bio-Medical Applications Of Arizona, Llc
5555 E 5Th St Ste 155 |
$0.00 | 32 | 13 |
|
Bassam M Fakhouri
4175 S Alamo Ave |
$0.59 | 34 | 31 |
|
Michael Thomas Rozell
5301 E Grant Rd |
$5.26 | 37 | 34 |
|
El Rio Santa Cruz Neighborhood Health Center, Inc
1500 W Commerce Ct |
$0.00 | 38 | 36 |
|
Erin Bottai
6565 E Carondelet Dr |
$74.11 | 42 | 42 |
|
Lydia Wester
2300 N Rosemont Blvd |
$69.74 | 42 | 41 |
|
Michael Alan Boxer
603 N Wilmot Rd Ste 151 |
$0.63 | 42 | 25 |
|
Cynthia Ware Carlson
2120 W Ina Rd Ste 100 |
$0.01 | 42 | 35 |
|
Rachel Elizabeth Swart
1891 W Orange Grove Rd Bldg 1 |
$0.79 | 43 | 32 |
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 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 ยท 235 providers
Milwaukee, WI
Avg $9.22
755,550 claims ยท 88 providers
Washington, DC
Avg $6.48
675,765 claims ยท 92 providers
Los Angeles, CA
Avg $61.23
617,979 claims ยท 282 providers
Louisville, KY
Avg $31.67
601,676 claims ยท 181 providers
New York, NY
Avg $40.26
587,024 claims ยท 195 providers
San Diego, CA
Avg $27.34
493,429 claims ยท 162 providers
Richmond, VA
Avg $24.15
476,311 claims ยท 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