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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.

Puerto Rico Medicaid Contact Details

Technical contact

PR HEALTH INSURER ADMINISTRATION (PRHIA)

addie mercado

AMERCADO@ASESPR.ORG

calle alda 1549 sector el cinco

san juan, PR 00919

(787) 474-3300

Rebate contact

PR HEALTH INSURER ADMINISTRATION (PRHIA)

carmen rodriguez

CLETICIA@ASESPR.ORG

calle alda 1549 sector el cinco

san juan, PR 00919

(787) 474-3300

Policy contact

ASES

roxanna rosario serrano

RROSARIO@ASESPR.ORG

calle alda 1549 sector el cinco

san juan, PR 00919

(787) 474-3300

Puerto Rico Medicaid State Details as of 29-AUG-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.

Required Claim Identifiers

Claim identifiers required to indicate 340B drugs were dispensed.

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.