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Deficit Reduction Act of 2005 State Requirements Regarding Physician-Administered Drugs The Deficit Reduction Act of 2005 (DRA) requires States to collect Medicaid rebates for certain physician-administered drugs. Beginning January 1, 2006, States must collect utilization data for single source, physician-administered drugs in order to secure rebates for such drugs. Effective January 1, 2007, States must also collect National Drug Codes (NDC) for the 20 multiple source physician-administered drugs with the highest dollar volume in Medicaid. Beginning January 1, 2008, the DRA provides that States not collecting NDCs on these 20 drugs will not receive Federal matching payments for the drugs unless they receive a hardship waiver. For further information on this part of the DRA, please click on the SMD Letter on physician-administered drugs below. The Secretary's list of the top 20 multiple source physician-administered drugs lists drugs ranked in order of highest cost and volume in the Medicaid program. The list, compiled using 2004-2005 national data extracted from the Medicaid Statistical Information System (MSIS), provides the Healthcare Common Procedure Coding System (HCPCS) codes with corresponding NDCs, labeler drug names, labeler names and package sizes for each listed drug. This list may be modified from year to year to reflect changes in cost and volume.
Page Last Modified: 08/13/2008 12:05:29 PM
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