Use of Pharmacy Vendors and PBMs for Medicaid Fee-for-Service Benefit
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 | State Use of Pharmacy Vendors and PBMs for Fee-for-Service Benefits | Vendor(s) |
|---|---|---|
| United States | Yes: 49, No: 1, NR: 1 | |
| Alabama | Yes | Health Information Design, DXC Technology |
| Alaska | Yes | Conduent |
| Arizona | Yes | Optum Rx |
| Arkansas | Yes | Magellan |
| California | No | |
| Colorado | Yes | Magellan Rx Management |
| Connecticut | Yes | DXC Technology, Magellan, Kepro |
| Delaware | Yes | DXC Technology, Change Healthcare |
| District of Columbia | Yes | Magellan Medicaid, Conduent, Maximus |
| Florida | Yes | Magellan Rx Management |
| Georgia | Yes | OptumRx |
| Hawaii | Yes | Conduent |
| Idaho | Yes | Magellan Rx Management |
| Illinois | Yes | Change Healthcare |
| Indiana | Yes | Optum Rx |
| Iowa | Yes | Change Healthcare |
| Kansas | Yes | DXC Technology |
| Kentucky | Yes | Magellan Rx Management |
| Louisiana | Yes | DXC Technology, ULM Office of Outcomes Research and Evaluation, Magellan Rx Management, University of New Orleans Pharmacy Support |
| Maine | Yes | Change Healthcare |
| Maryland | Yes | Conduent, Health Information Design/Kepro, Provider Synergies/Magellan Health, Myers & Stauffer |
| Massachusetts | Yes | Conduent, Maximus |
| Michigan | Yes | Magellan Rx Management |
| Minnesota | Yes | Magellan, Health Information Design, Conduent, Change HealthCare |
| Mississippi | Yes | Conduent |
| Missouri | Yes | Wipro, Conduent |
| Montana | Yes | Conduent, Mountain-Pacific Quality Health, Magellan Medicaid, Mercer |
| Nebraska | Yes | Magellan Rx Management |
| Nevada | Yes | OptumRx, DXC Technology |
| New Hampshire | Yes | Magellan Rx Management |
| New Jersey | Yes | DXC Technology |
| New Mexico | Yes | Conduent |
| New York | Yes | Magellan Rx Management, Health Information Designs, General Dynamics |
| North Carolina | Yes | Conduent |
| North Dakota | Yes | Health Information Design, Change Healthcare, SSDC, Accurint, CenteRx, Conduent |
| Ohio | Yes | Change Healthcare |
| Oklahoma | Yes | Change, DXC Technology |
| Oregon | Yes | DXC Technology |
| Pennsylvania | Yes | DXC Technology, Change Healthcare |
| Rhode Island | Yes | DXC Technology |
| South Carolina | Yes | Magellan Health |
| South Dakota | Yes | Optum Rx |
| Tennessee | Yes | Magellan Health Services |
| Texas | Yes | Conduent, Conduent Heritage, Health Information Design, Magellan |
| Utah | NR | NR |
| Vermont | Yes | Change Healthcare |
| Virginia | Yes | Magellan Medicaid Administration, MMIS vendor |
| Washington | Yes | Optum Rx |
| West Virginia | Yes | DXC Technology, Rational Drug Therapy Program, Change Healthcare, Marshall University Clinical Coalition |
| Wisconsin | Yes | DXC Technology |
| Wyoming | Yes | Change Healthcare, University of Wyoming School of Pharmacy |