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Tuesday, September 07, 2010

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Part D Coverage Gap Information for Pharmaceutical Manufacturers

Announcement of Five New Members to the Advisory Panel on Ambulatory Payment Classification Groups - Medicare

Medicare Coverage Gap Discount Program Update

Patient Protection and Affordable Care Act of 2010, as amended by the Health Care and Education Reconciliation Act of 2010 (collectively referred to as the “Affordable Care Act”) Physician Fee Schedule Provisions

OIG approves Non-profit Organization for Grants

Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 - 25June10 - CMS

The Affordable Care Act (ACA) imposes a 0.25 percentage point reduction to the Inpatient Prospective Payment System

Billing for Unused or Discarded Drugs & Biologics

CMS Division of Pharmacy's Policy Resource Mailbox Has Been Changed

Civilian Health and Medical Program of the Uniformed Services (CHAMPUS)/TRICARE: Inclusion of TRICARE Retail Pharmacy Program in Federal Procurement of Pharmaceuticals

April 2010 Quarterly ASP Update

Revision of Medicare Benefit Policy Manual Regarding the Definition of Compendia

DC Court of Appeals finds against "least costly alternative" and defines "reasonable and necessary"

January 2010 Average Sales Price (ASP) File Is Now Available

Medicare Expands List of Covered Preventive Services to Include HIV Screening Tests

Alabama Medicaid asks CMS to allow payment methodology change

Department of Health and Human Services to Hold Two Hearings on Medicaid June 10 in Lincoln

Indiana Medicaid Lowers Reimbursement for Provider Administered Drugs & Biologics

CMSO Letter to State Medicaid - Adding a New Eligibility Group for Low Income Adults w No Dependants

Proposed amendments to Pharmacy Services PDL and P & T Committee Proposed amendment to Pharmacy Services - TX Medicaid

Oklahoma Medicaid Reductions

Elimination of 12% Add-on Payment in DME - Missouri Medicaid

Indiana Medicaid - Claims Billed and Paid for Procedure Code J3370 (Vancomycin 500 mg) to Be Mass Adjusted

Wisconsin expands Medicaid "child" coverage to adults under age 27

October 20, 2009 - Texas Medicaid - Pharmacist Administration of Immunizations

Highly Restrictive PhRMA/Bio Policy from NJ Medicaid - Mental Health- September 2009

Medicaid Rebate Treatment of Tricare Retail Pharmacy Benefit Plan Transactions

Delaware Medical Assistance Programs’ reimbursement for brand medications to AWP – 14.5%

PUBLIC HEARING NOTICE: Proposed Medicaid Payment Rates for Physician-Administered Drugs

Implementing PDL and Supplemental Rebate - NE Medicaid

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