Form preview

Get the free J-Code OBRA '90 Federal Rebate Assistance - health ny

Get Form
This document outlines the operational parameters and services related to federal rebate assistance under OBRA '90, including guidelines for prescribing practices and drug coverage analysis.
We are not affiliated with any brand or entity on this form

Get, Create, Make and Sign j-code obra 90 federal

Edit
Edit your j-code obra 90 federal form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share
Share your form instantly
Email, fax, or share your j-code obra 90 federal form via URL. You can also download, print, or export forms to your preferred cloud storage service.

How to edit j-code obra 90 federal online

9.5
Ease of Setup
pdfFiller User Ratings on G2
9.0
Ease of Use
pdfFiller User Ratings on G2
To use our professional PDF editor, follow these steps:
1
Log in to account. Click Start Free Trial and register a profile if you don't have one.
2
Prepare a file. Use the Add New button. Then upload your file to the system from your device, importing it from internal mail, the cloud, or by adding its URL.
3
Edit j-code obra 90 federal. Text may be added and replaced, new objects can be included, pages can be rearranged, watermarks and page numbers can be added, and so on. When you're done editing, click Done and then go to the Documents tab to combine, divide, lock, or unlock the file.
4
Save your file. Select it from your records list. Then, click the right toolbar and select one of the various exporting options: save in numerous formats, download as PDF, email, or cloud.
The use of pdfFiller makes dealing with documents straightforward. Now is the time to try it!

Uncompromising security for your PDF editing and eSignature needs

Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
GDPR
AICPA SOC 2
PCI
HIPAA
CCPA
FDA

How to fill out j-code obra 90 federal

Illustration

How to fill out J-Code OBRA '90 Federal Rebate Assistance

01
Gather necessary patient information, including the patient's Medicare number and diagnosis.
02
Ensure that the medication is covered under the J-Code list and is eligible for OBRA '90 Federal Rebate Assistance.
03
Complete the necessary claim form with accurate patient details, medication, and billing information.
04
Attach any required documentation, such as prescriptions or medical records that support the need for medication.
05
Submit the completed form and documentation to the appropriate state agency or Medicare for processing.
06
Keep a copy of the submitted form and any correspondence for your records.

Who needs J-Code OBRA '90 Federal Rebate Assistance?

01
Individuals who are enrolled in Medicare and require medications that qualify for federal rebate assistance under the OBRA '90 program.
02
Patients with specific medical conditions that necessitate the use of covered medications.
03
Healthcare providers who administer or prescribe eligible medications and bill for federal rebate assistance.
Fill form : Try Risk Free
Users Most Likely To Recommend - Summer 2025
Grid Leader in Small-Business - Summer 2025
High Performer - Summer 2025
Regional Leader - Summer 2025
Easiest To Do Business With - Summer 2025
Best Meets Requirements- Summer 2025
Rate the form
4.0
Satisfied
26 Votes

For pdfFiller’s FAQs

Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.

J-Code OBRA '90 Federal Rebate Assistance refers to a federal program established under the Omnibus Budget Reconciliation Act of 1990 that provides rebates to states for certain outpatient drugs covered under Medicaid.
Pharmaceutical manufacturers that sell outpatient drugs to Medicaid programs are required to file J-Code OBRA '90 Federal Rebate Assistance to report the required rebate amounts.
To fill out J-Code OBRA '90 Federal Rebate Assistance, manufacturers must complete a form that includes drug codes, calculations of rebates owed, and any pertinent pharmaceutical pricing information.
The purpose of J-Code OBRA '90 Federal Rebate Assistance is to provide states with federal funding to reduce Medicaid drug costs by ensuring that states receive rebates from drug manufacturers.
The information that must be reported includes drug identification numbers, pricing information, total units sold, and the corresponding rebate amounts associated with the drugs.
Fill out your j-code obra 90 federal online with pdfFiller!

pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

Get started now
Form preview
If you believe that this page should be taken down, please follow our DMCA take down process here .
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.