S0187 Medicaid reimbursement rate by state (2026)
Tamoxifen citrate, oral, 10 mg. Medicaid pays a median of $1.22 for S0187 across 6 states, from $0.13 in Washington to $5.21 in New Mexico.
- States publishing
- 6
- National median
- $1.22units vary by state
- Lowest
- $0.13Washington
- Highest
- $5.21New Mexico
What does Medicaid pay for S0187?
6 state Medicaid programs publish a fee-for-service rate for S0187. The national median is $1.22 (units differ between states). New Mexico pays the most, $5.21, and Washington the least, $0.13, a 40.1x spread.
S0187 rate by state: highest, middle and lowest
One like-for-like fee-for-service rate per state, ranked. The workspace lists all 6 states with every variant, modifier and effective date.
Frequently asked questions
What does Medicaid pay for S0187?
It depends on the state. Of the 6 states with a published fee-for-service rate, the median is $1.22. New Mexico pays the most ($5.21) and Washington the least ($0.13).
Which state pays the highest Medicaid rate for S0187?
New Mexico, at $5.21, effective 2025-01-01.
Do managed-care plans pay the same rate for S0187?
Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The workspace shows the rule for each state, cited to the contract or statute.