340B Prime Vendor Program Logo | Managed By Apexus

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.

Washington Medicaid Contact Details

Technical contact

johnna ziegler

JOHNNA.ZIEGLER@HCA.WA.GOV

626 8th avenue se p.o. box 45510

olympia, WA 98501

(360) 725-1841

Rebate contact

johnna ziegler

JOHNNA.ZIEGLER@HCA.WA.GOV

626 8th avenue se p.o. box 45510

olympia, WA 98501

(360) 725-1841

Policy contact

johnna ziegler

JOHNNA.ZIEGLER@HCA.WA.GOV

626 8th avenue se p.o. box 45510

olympia, WA 98501

(360) 725-1841

Washington Medicaid State Details as of 19-MAR-25

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.

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)

Community Health Plan of Washington Cigna / Evernorth / Express Scripts
Coordinated Care Cigna / Evernorth / Express Scripts
Molina - AH/IMC ABD CVS Health / Caremark
Molina - AH/IMC BDCFC (Apple Health Community First Choice) CVS Health / Caremark
Molina - AH/IMC PREM CVS Health / Caremark
Molina - AHA/IMC ADULT (Apple Health Adult) CVS Health / Caremark
Molina - AHFAM/IMC (Apple Health Family/Pregnancy) CVS Health / Caremark
Molina Healthcare of Washington (COB) Prime Therapeutics / Magellan Rx
Molina WA – AHE CVS Health / Caremark
United Healthcare of Washington UnitedHealth / OptumRx
Wellpoint Washington (previously Amerigroup) UnitedHealth / OptumRx