Medicaid Drugs Fee Schedules by State

41 states publish Medicaid drugs fee schedules covering injectable and infused medications billed under HCPCS J-codes.

Every state, kept current

The Rates plan

$29/mo7-day free trial

State 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 and state network lists
  • Email alerts when a state changes its rates
Start free trial

$29/mo after the trial. Cancel anytime.

Publishing states

41

Distinct procedure codes

1,203

National median % of Medicare

--

Every state's drugs schedule compared

StatePublished codesMedian % of MedicarePA-required codesVintage
Alabama653----2026
Arkansas874----2026
Arizona956----2026
California804----2026
Colorado39----2026
Connecticut782--82026
District of Columbia868--2952026
Delaware7----2026
Hawaii3----2025
Iowa817----2026
Idaho876--1512026
Illinois782----2026
Indiana865--932026
Kansas875----2026
Kentucky505----2026
Louisiana346----2026
Massachusetts67----2026
Maryland6----2026
Maine635----2026
Michigan852----2026
Minnesota884--2732026
Mississippi856----2026
Montana895--322026
North Carolina369----2026
Nebraska902----2026
New Hampshire941--362026
New Jersey953----2026
New Mexico987----2026
Ohio1----2024
Oklahoma904----2026
Pennsylvania1----2009
Rhode Island589----2026
South Carolina788----2026
Texas834----2026
Utah739--2042026
Virginia882----2026
Vermont746--2552026
Washington881----2026
Wisconsin973----2026
West Virginia2----2026
Wyoming645--212026

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.

Browse by code

Every drugs code priced by ten or more state Medicaid programs, grouped by code number, each with its state count and median rate. Drugs codes by number

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.