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HCPCS Code Six-Month Marketing Prerequisite Is Unnecessary, PhRMA Says

Executive Summary

The Centers for Medicare & Medicaid Services should eliminate the six-month marketing prerequisite for applying to receive an HCPCS code for Medicare reimbursement, PhRMA said in comments to HHS' Committee on Regulatory Reform

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Medicare Drug Coding Drops Six-Month Marketing Requirement

Pharmaceutical manufacturers will no longer need to submit six months of marketing data for a drug when seeking a Medicare reimbursement code

Medicare Drug Coding Drops Six-Month Marketing Requirement

Pharmaceutical manufacturers will no longer need to submit six months of marketing data for a drug when seeking a Medicare reimbursement code

NDCs not required under HHS rule

Neither national drug codes nor the Healthcare Common Procedure Coding System would be required as the standard for reporting drugs and biologics for non-retail pharmacy transactions under HHS proposed rule. NDCs will remain the standard for retail pharmacy. The Pharmaceutical Research & Manufacturers of America wants NDCs to be used as the basis for Medicare reimbursement (1"The Pink Sheet" April 22, p. 36)...

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