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Based on public Medicaid payment data.

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

Other Procedures in Tucson, AZ