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Part B Specialty Drug List **NOTE: All outofnetwork services require prior authorization** Cancer Chemotherapy: Drugs that DO NOT require Prior Authorization (PA) Bladder: Carbonation, Cisplatin,
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What is part b specialty drug?
Part B specialty drugs are high-cost prescription drugs that are often used to treat complex or chronic conditions. These drugs are typically administered by a healthcare provider and may require special handling or monitoring.
Who is required to file part b specialty drug?
Healthcare providers who administer Part B specialty drugs to Medicare beneficiaries are required to report information about these drugs to the Centers for Medicare & Medicaid Services (CMS).
How to fill out part b specialty drug?
Healthcare providers can fill out information about Part B specialty drugs using the appropriate forms and submitting them through the CMS portal or by mail.
What is the purpose of part b specialty drug?
The purpose of reporting Part B specialty drugs is to track the usage and costs of these high-cost drugs, identify trends, and ensure appropriate payment to healthcare providers.
What information must be reported on part b specialty drug?
Healthcare providers must report information such as drug name, dosage, administration route, and Healthcare Common Procedure Coding System (HCPCS) code.
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