Pharmacy Question for the Week of July 2, 2018

Question:

Are there any new pass-through drugs for the upcoming quarter?

Answer:

The Centers for Medicare & Medicaid Services (CMS) have granted outpatient prospective payment system (OPPS) pass-through status, effective July 1, 2018 the following drugs and biological:

C9030 Injection, copanlisib, 1 mg
C9031 Lutetium Lu 177, dotatate, therapeutic, 1 mCi
C9032 Injection, voretigene neparvovec-rzyl, 1 billion vector genome
Q9991 Injection, buprenorphine extendedrelease (Sublocade), less than or equal to 100 mg
Q9992 Injection, buprenorphine extendedrelease (Sublocade), greater than 100 mg
Q9995 Injection, emicizumab-kxwh, 0.5 mg

 

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