Based on public Medicaid payment data.

Average Medicaid Prescription Medications Payments in Wilmington, NC: $17.89

Avg. Paid

$17.89

Range

$0.00 – $699.39

Total Claims

58,541

Providers

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 Wilmington, NC

Provider	Avg. Paid	Claims	Patients
Jonathan Bradley Woods 1302 Medical Center Dr	$1.20	16,510	1,445
Douglas Andrew Hamerski 1302 Medical Center Dr	$0.87	11,879	1,007
Derrick Llewellyn Robinson 1302 Medical Center Dr	$1.42	10,001	890
Robert Alexander Moore 1302 Medical Center Dr	$1.12	5,212	428
Eric Pierson 1302 Medical Center Dr	$0.40	3,105	253
James Carden Mccabe 1302 Medical Center Dr	$0.44	2,236	183
Henry Holt 1801 New Hanover Medical Park Dr	$378.69	1,281	641
Robert Stuart Point 1911 S 17Th St # 140	$6.04	855	750
Richard T. Ferro 6832 Market St	$8.14	562	422
Igor Westra 1801 New Hanover Medical Park Dr	$606.00	527	265
Victor Elias Abraham 1099 Medical Center Dr	$2.39	525	274
Douglas Sterling Fry 1911 S 17Th St	$2.11	498	486
Andrew Mathew Johnson 8115 Market St	$13.83	463	447
Brian Donner 1302 Medical Center Dr	$0.00	440	37
Francis S Pecoraro 1209 Culbreth Dr Ste 102	$1.82	424	358
Halley R White 8115 Market St	$13.09	402	385
Laura Rose Sullivan 4600 Oleander Dr	$0.05	323	246
Briana Nicole Terry 2150 Shipyard Blvd	$10.74	287	218
Jessica Burkett 5211 S College Rd	$13.69	257	211
Leon Charkoudian 1104 Medical Center Dr	$499.03	224	98
Brandon Ryan 1705 Gardner Rd	$1.07	210	153
Jan Maree Pixton 1925A Oleander Dr	$0.36	182	158
Kristen Joy Goodwin 1650 Greenfield St	$21.73	163	144
Mark Samuel Thomas Armitage 5429 Wrightsville Ave	$0.93	142	65
Randy Kimery 5710 Oleander Dr Ste 201	$0.15	122	77
Courtney Michelle Nance 4117 Oleander Dr Ste 1B	$0.08	116	106
Carol Rich Butler 1650 Greenfield St	$46.07	110	103
Todd C. Snyder 4402 Shipyard Blvd	$7.98	98	84
Andrea Morgan Formyduval Lewis 4005 Oleander Dr	$0.00	96	44
John Mearns 4402 Shipyard Blvd	$5.26	94	84
Carrie Lee Waters 1124 Gallery Park Ln	$0.60	90	44
Samuel Brown Collins 4402 Shipyard Blvd	$4.12	80	65
Ashli Mckenzie Gibson 1721 New Hanover Medical Park Dr	$30.18	79	77
Victoria Marie Franklin 1809 Glen Meade Rd	$7.25	76	76
Diana Shawn Deviney 2221 S 17Th St	$26.70	71	55
Timothy Shawn Fitzgerald 1717 Shipyard Blvd	$1.98	67	49
Ruth K Anderson 2716 Ashton Dr	$0.30	64	53
Michael William Joseph Brown 2131 S 17Th St	$5.79	62	55
Randall Norman Willard 4402 Shipyard Blvd	$4.48	58	51
Susan Marie Brandt 613 Shipyard Blvd	$0.00	53	45
Brianna Christine Wesley 2131 S 17Th St	$0.18	50	34
Jeffrey Joseph Dehmer 2131 S 17Th St	$9.30	45	39
Cheryl Smith 5429 Wrightsville Ave	$1.68	35	28
Joshua Nicholas Ellerbrock 5429 Wrightsville Ave	$2.89	32	24
Christopher Aaron Hess 1202 Medical Center Dr	$0.10	32	24
Robert Lee Brownlow 1104 Medical Center Dr	$649.42	32	24
Charles Neuwirth 1202 Medical Center Dr	$2.86	28	24
De Benjamin Winter 4402 Shipyard Blvd	$3.87	25	25
Christopher F Donovin 2632-3 Carolina Beach Road	$0.97	25	23
Michael S. Jaskolka 2131 S 17Th St	$1.22	22	15

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 Wilmington, NC?

Based on public Medicaid payment data, the average Medicaid reimbursement for Prescription Medications in Wilmington, NC is $17.89 per claim, based on 58,541 claims from 62 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 Wilmington, NC?

There are 62 Medicaid providers offering Prescription Medications related services in Wilmington, NC according to public payment data.

What is the price range for Prescription Medications in Wilmington, NC?

Medicaid reimbursement for Prescription Medications in Wilmington, NC ranges from $0.00 to $699.39 per claim, with an average of $17.89. Private insurance and self-pay costs are typically higher than these Medicaid rates.

Average Medicaid Prescription Medications Payments in Wilmington, NC: $17.89

Providers Offering Prescription Medications in Wilmington, NC

What to Expect: Prescription Medications

Cost Components

Frequently Asked Questions

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