The Rates plan
$29/mo7-day free trialState pages show common-procedure samples. Full all-codes drugs schedules for every state come with the Rates plan.
- Every code on all 51 published schedules
- Full-schedule CSV export
- Full state Medicaid dental network lists
- Email alerts when a state changes its rates
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Publishing states
41
Distinct procedure codes
1,220
National median % of Medicare
--
Every state's drugs schedule compared
| State | Published codes | Median % of Medicare | PA-required codes | Vintage |
|---|---|---|---|---|
| Alabama | 653 | -- | -- | 2026 |
| Arkansas | 874 | -- | -- | 2026 |
| Arizona | 1,154 | -- | -- | 2026 |
| California | 804 | -- | -- | 2026 |
| Colorado | 39 | -- | -- | 2026 |
| Connecticut | 782 | -- | 8 | 2026 |
| District of Columbia | 868 | -- | 295 | 2026 |
| Delaware | 7 | -- | -- | 2026 |
| Hawaii | 3 | -- | -- | 2025 |
| Iowa | 817 | -- | -- | 2026 |
| Idaho | 876 | -- | 151 | 2026 |
| Illinois | 782 | -- | -- | 2026 |
| Indiana | 865 | -- | 93 | 2026 |
| Kansas | 875 | -- | -- | 2026 |
| Kentucky | 505 | -- | -- | 2026 |
| Louisiana | 342 | -- | -- | 2026 |
| Massachusetts | 66 | -- | -- | 2026 |
| Maryland | 1 | -- | -- | 2021 |
| Maine | 635 | -- | -- | 2026 |
| Michigan | 865 | -- | -- | 2026 |
| Minnesota | 884 | -- | 273 | 2026 |
| Mississippi | 856 | -- | -- | 2026 |
| Montana | 895 | -- | 32 | 2026 |
| North Carolina | 369 | -- | -- | 2026 |
| Nebraska | 902 | -- | -- | 2026 |
| New Hampshire | 941 | -- | 36 | 2026 |
| New Jersey | 953 | -- | -- | 2026 |
| New Mexico | 987 | -- | -- | 2026 |
| Ohio | 1 | -- | -- | 2024 |
| Oklahoma | 904 | -- | -- | 2026 |
| Pennsylvania | 1 | -- | -- | 2009 |
| Rhode Island | 589 | -- | -- | 2026 |
| South Carolina | 788 | -- | -- | 2026 |
| Texas | 834 | -- | -- | 2026 |
| Utah | 739 | -- | 204 | 2026 |
| Virginia | 882 | -- | -- | 2026 |
| Vermont | 746 | -- | 255 | 2026 |
| Washington | 881 | -- | -- | 2026 |
| Wisconsin | 973 | -- | -- | 2026 |
| West Virginia | 2 | -- | -- | 2026 |
| Wyoming | 645 | -- | 21 | 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. "--" in the PA column means the state publishes no prior-authorization flags on this schedule.
Other Medicaid fee-schedule categories
Frequently asked questions
Which states pay the most for Medicaid drugs services?
Most drugs codes lack a direct national Medicare comparator, so this category is compared by published code counts and per-code rates rather than a Medicare percentage. Pick a state in the table for its schedule.
What do these Medicaid drugs fee schedules cover?
Published fee-for-service rates for physician-administered drugs: injectable and infused medications billed under HCPCS J-codes. Each state page lists common procedures with plain-language descriptions and the state's published rate; the complete all-codes schedules are available with a ProviderSignal Rates subscription.
How current are these rates?
Rates come from each state's currently published Medicaid fee schedule and are re-collected on a rolling schedule; pages update automatically after each collection. Most states' schedules on this page are effective 2026.