Pharmacy Question for the Week of December 10, 2018

Pharmacy Compliance Question of the Week

Question:

How much will CMS pay for 340B drugs in 2019?

Answer:

In 2018, the Centers for Medicare & Medicaid Services (CMS) finalized a policy to pay the average sales price (ASP) minus 22.5 percent under the Medicare Physician Fee Schedule (MPFS) for separately payable 340B-acquired drugs furnished in hospital departments paid under the outpatient OPPS. For 2019, CMS adopted the same policy for nonexcepted, off-campus provider-based departments (PBDs) of a hospital.

Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.