MedicaidReimbursementLow impact
Notice of intent — OHA proposes to amend the Medicaid State Plan to increase the professional dispensing fees paid to pharmacies.
Oregon Health Plan·OR·Public notice
Effective date
Oct 1, 2024
We identified it
Jun 20, 2026
Summary
Oregon Medicaid is increasing professional dispensing fees paid to pharmacies effective October 1, 2024, with new volume tiers and higher reimbursement rates across all categories. 340B pharmacies will receive the largest increase from $14.30 to $20.86 per prescription.
Action Required
By October 1, 2024: Billing team should be aware that Oregon Medicaid pharmacy dispensing fees will increase automatically - no action required as this affects pharmacy reimbursement rates, not physician billing codes or procedures. Monitor for any related changes to medication administration billing if your practice has an in-house pharmacy.