J0750 Medicaid Rate by State

Emtricitabine 200mg and tenofovir disoproxil fumarate 300mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv)

19 state Medicaid programs publish a fee-for-service rate for J0750 (emtricitabine 200mg and tenofovir disoproxil fumarate 300mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv)), ranging from $0.45 in Wisconsin to $61.41 in New Hampshire.

Every state, kept current

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This page shows one representative rate per state for J0750. Full schedules include every locality, modifier, and age-band variant.

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Publishing states

19

Median % of Medicare

--

Rate range

$0.45 - $61.41

J0750 rates in every publishing state

StateMedicaid rate% of MedicarePrior authVintage
Arkansas$1.65*----2026
Arizona$0.45----2026
California$0.49----2026
Connecticut$1.82----2025
District of Columbia$1.34--Not required2026
Iowa$1.22----2024
Idaho$1.16--Not required2026
Kansas$0.45----2026
Kentucky$1.34----2026
Mississippi$0.49----2026
Montana$1.34----2026
Nebraska$0.45----2026
New Hampshire$61.41--Not required2026
New Jersey$1.78--Not required2026
New Mexico$1.82----2025
Rhode Island$1.79----2026
Vermont$1.64----2026
Washington$0.45----2026
Wisconsin$0.45----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

All 224 codes from J0013 to J0911 or every drugs code by number.

Frequently asked questions

How much does Medicaid pay for J0750?

19 state Medicaid programs publish a fee-for-service rate for J0750 (emtricitabine 200mg and tenofovir disoproxil fumarate 300mg, oral, fda approved prescription, only for use as hiv pre-exposure prophylaxis (not for use as treatment of hiv)), ranging from $0.45 in Wisconsin to $61.41 in New Hampshire. The full table on this page lists every publishing state's current rate.

Which state pays the most for J0750?

New Hampshire publishes the highest Medicaid rate for J0750 at $61.41. Wisconsin publishes the lowest at $0.45.

Does J0750 require prior authorization under Medicaid?

No publishing state flags J0750 with a prior-authorization indicator on its fee schedule. Absence of a flag means the state publishes none, not that PA is never required - confirm through the state's provider manual.