Q&A: Drugs associated with an NDC
Patient Financial Services Weekly Advisor, March 7, 2008
Q. How are unused drugs associated with an NDC that contains several vials to be managed?
A. In the July 6 2005 Interim Final Rule with comment (70 IFC 39061), we stated that "packages containing multiple individual units of drug (like vial trays) may be split into quantities that are appropriate for a beneficiary's dose." The remaining vials would be retained by the vendor.
Consistent with Medicare billing rules, only the quantity actually administered to the Medicare beneficiary may be billed to Medicare by the vendor.
The vendor claim would specify the HCPCS code for the drug and the number of units of the drug that were administered to the beneficiary.
Source: Centers for Medicare & Medicaid Services
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