Pharmacy Question for the Week of November 27, 2017

Pharmacy Compliance Question of the Week

Question:

Does the incident-to policy affect Medicare payment for drugs?

Answer:

In order to meet all the general requirements for coverage under the incident-to provision, drugs and biologicals must be approved by the Food & Drug Administration (FDA). They must be a form that is not usually self-administered and must be furnished and administered by a physician or by auxiliary personnel employed by the physician and under the physician’s personal supervision.

If there is a charge for the drug or biological, it must be included in the physician’s bill, and the cost must represent an expense to the physician.

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.