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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.

Pennsylvania Medicaid Contact Details

Technical contact

CHANGE HEALTHCARE

dani sawyer

DANI.SAWYER@OPTUM.COM

45 commerce drive suite 5

augusta, ME 04332

(207) 622-7153

Rebate contact

brittany starr

C-BSTARR@PA.GOV

303 walnut street 9th floor commonwealth tower

harrisburg, PA 17101

(717) 346-8164

Policy contact

terri cathers

C-TCATHERS@PA.GOV

303 walnut street 9th floor commonwealth tower

harrisburg, PA 17101

(717) 346-8156

Pennsylvania Medicaid State Details as of 30-SEP-24

Retail Pharmacy Transactions - Fee For Service (FFS)

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.

Comments/Notes

Questions regarding the 340B Program should be directed to DPWPharmacyServices@pa.gov

Contract Pharmacies*

Medicaid Managed Care Organization (MCO) Information