Supplier

Managed Care Organization Pharmacy

8 providers registered as Managed Care Organization Pharmacy were paid $6.94M by Medicaid from 2018 through 2024.

Box 32 · Location

By state

1. CACalifornia
   $6.9M
2. NYNew York
   $16K
3. COColorado
   $850
4. KSKansas
   $32
5. MAMassachusetts
   $0
6. UTUtah
   $0

Box 24 · Service lines

What they bill for

1. B4035Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape
   $1.3M
2. B9998Noc for enteral supplies
   $858K
3. T4541Incontinence product, disposable underpad, large, each
   $728K
4. A4322Irrigation syringe, bulb or piston, each
   $644K
5. A4657Syringe, with or without needle, each
   $463K
6. B4088Gastrostomy/jejunostomy tube, low-profile, any material, any type, each
   $410K
7. T4535Disposable liner/shield/guard/pad/undergarment, for incontinence, each
   $339K
8. B4036Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape
   $307K
9. B4160Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
   $243K
10. T4523Adult sized disposable incontinence product, brief/diaper, large, each
    $192K

Ranked

Top providers

#	Provider	Location	Claims	Paid
1	Delta Drugs II INC	Glendale, CA	98,210	$6.92M
2	Equal Care US INC	Flushing, NY	19,730	$16K
3	Van RX INC	Garden Grove, CA	323	$1K
4	Kaiser Foundation Health Plan of Colorado	Brighton, CO	26	$530.83
5	Kaiser Permanente Health Plan of Colorado	Pueblo, CO	12	$318.72
6	Iola Pharmacy INC	Iola, KS	14	$31.62
7	Pharma Service LLC	New Bedford, MA	52	$0.00
8	CD Pharmacy LLC	Slc, UT	47	$0.00