Pharmacy

Pharmacy Question for the Week of December 16, 2019

Pharmacy Compliance Question of the Week

Question:

What are some of the transparency requirements for Medicare Administrative Contractors (MACs) regarding self-administered injectable drugs?

Answer:

According to the Medicare Benefit Policy Manuel:

“A/B MACs (A), (B), and (HHH), and DME MACs must publish a list of the injectable drugs that are subject to the self-administered exclusion on their website, including the data and rationale that led to the determination.”