Pharmacy Question for the Week of January 1, 2018

Pharmacy Compliance Question of the Week

Question:

Under the OPPS, what’s included in payment for drugs and biologicals?

Answer:

Payment for drugs, biologicals and radiopharmaceuticals under the outpatient prospective payment system (OPPS) includes both the acquisition cost and the associated pharmacy overhead or nuclear medicine handling cost. Hospitals should include these costs in their line-item charges for drugs, biologicals, and radiopharmaceuticals.

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.