State Medicaid MCO Pharmacy Minimum Dispensing Fees
This data is presented as an interactive tool that allows users to: filter by timeframe/year, select specific data columns (distributions), filter by state or geography, and view the data as a table, map, or trend chart.
As of July 1, 2019
| Location | Medicaid MCOs Required to Pay Minimum Dispensing Fee to Pharmacy | If Yes, Description |
|---|---|---|
| United States | Yes: 9, No: 25, N/A: 15, NR: 2 | |
| Alabama | N/A | |
| Alaska | N/A | |
| Arizona | Yes | Must pay FQHCs a $8.75 dispensing fee |
| Arkansas | No | |
| California | No | |
| Colorado | NR | |
| Connecticut | N/A | |
| Delaware | No | |
| District of Columbia | No | |
| Florida | No | |
| Georgia | No | |
| Hawaii | No | |
| Idaho | N/A | |
| Illinois | No | |
| Indiana | No | |
| Iowa | Yes | Must pay same dispensing fee as FFS |
| Kansas | Yes | Must pay $0 for Usual and Customary claims and Medicare Part D copay assistance and $10.50 for all other claims |
| Kentucky | Yes | Must pay $2 more in dispensing fees |
| Louisiana | Yes | Must pay non-chain (local) pharmacies at the same rate as FFS |
| Maine | N/A | |
| Maryland | No | |
| Massachusetts | No | |
| Michigan | No | |
| Minnesota | No | |
| Mississippi | Yes | Must pay the same as FFS, $11.29 for brand/generic; $61.14 for specialty drugs on state’s Specialty Drug List |
| Missouri | N/A | |
| Montana | N/A | |
| Nebraska | Yes | Minimum dispensing fee defined for independent pharmacies of 6 or fewer |
| Nevada | No | |
| New Hampshire | No | |
| New Jersey | No | |
| New Mexico | Yes | Must pay $2.00 in addition to contracted dispensing fee |
| New York | No | |
| North Carolina | N/A | |
| North Dakota | Yes | Must pay FFS rates as of January 1, 2019 |
| Ohio | No | |
| Oklahoma | N/A | |
| Oregon | No | |
| Pennsylvania | No | |
| Rhode Island | No | |
| South Carolina | No | |
| South Dakota | N/A | |
| Tennessee | N/A | |
| Texas | No | |
| Utah | NR | |
| Vermont | N/A | |
| Virginia | No | |
| Washington | No | |
| West Virginia | N/A | |
| Wisconsin | N/A | |
| Wyoming | N/A |