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340B Medicaid Profiles by State/Territory

Searchable state-by-state Medicaid 340B requirements

How to use the Medicaid Profiles tool

This resource has been created by the 340B Prime Vendor Program to assist stakeholders by combining the most recently available 340B-specific Medicaid data with publicly available federal data. Please note that additional requirements or contractual obligations that may be in place from third-party payers are not included in this resource.

Choose your state from the dropdown 

Please note: The data presented on this page are compiled from various sources; however, the information is not endorsed by HRSA and not dispositive with the 340B Drug Pricing Program. 340B stakeholders are ultimately responsible for 340B Program compliance and compliance with all applicable state and federal laws and regulations. Stakeholders are encouraged to contact the states to verify current policy/requirements.

Colorado Medicaid Contact Details

Technical contact

MAGELLAN HEALTH

martin vincent

MARTIN.SAMMANASUVINCENT@PRIMETHERAPEUTICS.COM

11013 w. broad street

glen allen, VA 23060

(612) 318-5702

Rebate contact

MAGELLAN HEALTH

bob rocho

BOB.ROCHO@PREIMETHERAPEUTICS.COM

11013 w. broad street

glen allen, VA 23060

(612) 318-5756

Policy contact

COLORADO HEALTH CARE POLICY & FINANCING

tom leahey

THOMAS.LEAHEY@STATE.CO.US

303 e. 17th ave, suite 1100

denver, CO 80203-1714

(303) 866-2617

Colorado Medicaid State Details as of 13-SEP-24

Retail Pharmacy Transactions - Fee For Service (FFS)

Drug Cost (submissions)

Drug cost type when 340B drugs are dispensed.

Drug Cost (reimbursements)

Drug cost type state plans reimburse at for 340B dispenses.

Professional Dispensing Fee (PDF)

The current professional dispensing fee for FFS 340B claims. Note: some states have ranges based on different factors.

Provider or Facility Administered Transactions Fee For Service (FFS)

Drug Cost (submissions)

Drug cost type when 340B drugs are administered.

Drug Cost (reimbursements)

Drug cost type state plans reimburse at for 340B dispenses.

Required Claim Identifiers

Claim identifiers required to indicate 340B drugs were administered.

Contract Pharmacies*

Medicaid Managed Care Organization (MCO) Information

State uses MCO plans?

Does the state use MCO(s) to manage Medicaid services?

Yes

MMCO Plans/Vendors

Pharmacy Benefit Managers (PBMs)

How Can We Help?

All 340B stakeholders have equal access to technical assistance by contacting the Apexus Answers call center. We provide HRSA-aligned answers ranging from basic to complex, via phone 888.340.BPVP (2787), live chat, and email. We are here to help you navigate the 340B Program.