Every state, kept current
The Rates plan
$29/mo7-day free trialThis page shows one representative rate per state for J0572. Full schedules include every locality, modifier, and age-band variant.
- Every code on all 51 published schedules
- Full-schedule CSV export and state network lists
- Email alerts when a state changes its rates
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Publishing states
18
Median % of Medicare
--
Rate range
$0.43 - $7.47
J0572 rates in every publishing state
| State | Medicaid rate | % of Medicare | Prior auth | Vintage |
|---|---|---|---|---|
| Arizona | $3.65 | -- | -- | 2026 |
| California | $1.05 | -- | -- | 2026 |
| District of Columbia | $1.11 | -- | Required | 2022 |
| Iowa | $7.47 | -- | -- | 2020 |
| Indiana | $0.68 | -- | -- | 2022 |
| Kansas | $1.23 | -- | -- | 2026 |
| Maryland | $4.90* | -- | -- | 2026 |
| Maine | $4.91 | -- | -- | 2026 |
| Minnesota | $0.67 | -- | Required | 2026 |
| Mississippi | $2.48 | -- | -- | 2026 |
| Montana | $4.86* | -- | -- | 2026 |
| New Hampshire | $1.38 | -- | Not required | 2026 |
| New Jersey | $2.82 | -- | Not required | 2026 |
| New Mexico | $4.16 | -- | -- | 2025 |
| Oklahoma | $1.14 | -- | -- | 2026 |
| South Carolina | $4.72 | -- | -- | 2025 |
| Virginia | $4.34 | -- | -- | 2017 |
| Washington | $0.43 | -- | -- | 2026 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * are representative published variants or methodology-derived rates. "--" in the prior-auth column means the state publishes no PA flag.
Related drugs codes
- J0013 - Esketamine, nasal spray, 1 mg
- J0120 - Injection, tetracycline, up to 250 mg
- J0121 - Injection, omadacycline, 1 mg
- J0122 - Injection, eravacycline, 1 mg
- J0129 - Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered)
- J0130 - Injection abciximab, 10 mg
- J0131 - Injection, acetaminophen, not otherwise specified,10 mg
- J0132 - Injection, acetylcysteine, 100 mg
All 224 codes from J0013 to J0911 or every drugs code by number.
Frequently asked questions
How much does Medicaid pay for J0572?
18 state Medicaid programs publish a fee-for-service rate for J0572 (buprenorphine/naloxone, oral, less than or equal to 3 mg buprenorphine), ranging from $0.43 in Washington to $7.47 in Iowa. The full table on this page lists every publishing state's current rate.
Which state pays the most for J0572?
Iowa publishes the highest Medicaid rate for J0572 at $7.47. Washington publishes the lowest at $0.43.
Does J0572 require prior authorization under Medicaid?
2 of the 18 publishing states flag J0572 as requiring prior authorization (always or conditionally) on their fee schedules. States without a flag publish no PA indicator for this code - that means "not published", not "no PA required".