tci Part B Insider - 2003 Issue 35

DRUG REIMBURSEMENT: Medicare Cuts 50 Drugs, Raises 49

Chemotherapy drugs are hit harder in reimbursement smackdown Drugs are already being cut to 85 percent of average wholesale price in January, but some drugs are facing steeper cuts than others. The Centers for Medicare & Medicaid Services just unveiled its January 2004 drug pricing file under the single-drug price (SDP) methodology. But a grand total of 50 drugs are facing steeper cuts in January. Many of them will drop an extra 10 percent on top of the cut from 95 to 85 percent of AWP. The targets include a number of chemotherapy drugs: J9017 (Arsenic trioxide), J9060 (Cisplatin...

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