The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full District of Columbia drugs schedule has 868 codes.
- 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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Published codes
868
Drugs procedures on the 2026 schedule
Median % of Medicare
--
no national Medicare comparator for this category
PA required
295
codes flagged by the state
Common drugs procedures and what District of Columbia Medicaid pays
A curated sample of recognizable procedures from the 868-code schedule. Rates are the state's published fee-for-service amounts; the percentage compares each rate with the national Medicare amount for the same code.
| Code | Procedure | District of Columbia rate | % of Medicare |
|---|---|---|---|
| J0696 | Injection, ceftriaxone sodium, per 250 mg | $0.46 | -- |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | $0.11 | -- |
| J1885 | Injection, ketorolac tromethamine, per 15 mg | $0.33 | -- |
| J2550 | Injection, promethazine hcl, up to 50 mg | $3.97 | -- |
| J3420 | Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg | $0.64 | -- |
| J7030 | Infusion, normal saline solution , 1000 cc | $1.99 | -- |
| J7613 | Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg | $0.07 | -- |
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 * show the schedule's representative published variant.
More District of Columbia Medicaid fee schedules
- District of Columbia physician fee schedule · 6,530 codes
- District of Columbia lab & imaging fee schedule · 1,998 codes
- District of Columbia dme & supplies fee schedule · 1,711 codes
- District of Columbia other services fee schedule · 454 codes
- District of Columbia vision fee schedule · 160 codes
- District of Columbia behavioral health fee schedule · 68 codes
Drugs rates in neighboring states
Frequently asked questions
What does District of Columbia Medicaid pay for physician-administered drugs?
District of Columbia Medicaid publishes 868 drugs procedure rates effective 2026 on its fee-for-service schedule. The schedule covers injectable and infused medications billed under HCPCS J-codes. The table on this page shows published rates for common procedures; the complete all-codes schedule is available as a CSV download with a ProviderSignal Rates subscription.
How do District of Columbia's drugs rates compare with Medicare?
Most drugs codes in this category have no direct national Medicare comparator (Medicare prices these services through different mechanisms), so a median comparison is not published here.
Do drugs services need prior authorization in District of Columbia?
District of Columbia publishes prior-authorization flags on its schedule: 295 drugs codes are marked as always requiring PA. Codes without a flag carry no published PA indicator.
Where do these rates come from?
Directly from District of Columbia's published Medicaid fee-for-service schedule (effective 2026), collected and normalized by ProviderSignal across all 50 states + DC. Rates are re-collected on a rolling schedule and this page updates automatically. Procedure descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.
Get an email the next time District of Columbia changes these rates.