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Breaking News: Medicaid Fees Announced!


Pharmacies to be paid one of three fees, depending on various factors: $10.50 per claim, $8.75 per claim, or $7.64 per claim, depending on volume factors discussed in webinar.  

OPA members had the most important questions answered Friday, June 17th, about the payment system under the new single PBM. The fees are tiered by several factors, with the smaller pharmacies, and high Medicaid volume stores receiving the highest fees.   

If you are interested in Medicaid payment, and were unable to attend the webinar, click here to see it. If you'd prefer to read the slide deck, you can view it here.

OPA thanks Director Corcoran, and her staff, for creating this very transparent pharmacy program. The product cost will be adjusted regularly, and pharmacists will have a mechanism to adjust product cost when needed.

OPA will follow with a longer article, but we wanted you to be aware that this is the most important change in Ohio Medicaid in 30 years. Please send your feedback to  

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