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Drugs and Biologicals

Ch. 17 Medicare Claims Processing Manual

Web MD

Drugs and Medications A-Z

Q1Medicare : Calculate an Estimate of Spending

Medicare Part D Donut Hole Calculator

Provider Compliance Tips

Provider Compliance Tips for Oral Anticancer Drugs and Antiemetic Drugs Used in Conjunction

Payer Policy UHC

Injection and Infusion Services Policy - UHC


Clinicians Ultimate Guide to Drug Therapy

US Controlled Substance ACT

US Controlled Substance ACT

CMS 2020 Table of Drugs

CMS 2020 Table of Drugs

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Packaging and Units for Billing Drugs


To determine the dosage, size, doses per package and how many billing units are in each package, refer to the NDC number. Take a look at the following J1071 - Injection, testosterone cypionate, 1mg For example; using NCD # 0009-0085-10 there are 10 doses of 100 mL (100 mg/mL = 1 mL and there are ...

Clarify the Complexity Please! NDC Codes and Drug Classification Systems


Different Drug classification systems are used to categorize drugs to identify the medication, with each system having their own logic. There are four main drug classification systems used in the United States, not to be confused with a class of drugs or "Drug Class". A drug class is the way drugs ...

2020 Medicare Part D Coverage Gap (AKA donut hole)


Not every Medicare drug plan has complete coverage for prescription drugs - most have some sort of coverage gap, known as the “Donut Hole”. The coverage gap is a temporary limit on coverage under the drug plan. This coverage gap will not affect everyone and begins after you have used ...

Medicare Part D Coverage Gap (Donut Hole) Closes in 2020


Overview of the Part D coverage gap, how it got closed, what the picture looks like for 2020, and long-term outlook.

Everything You need to Know about Drugs


We have it all! Search our WK Drug Database for drugs and pharmaceuticals. When it comes to support and guidance the WK Drug Database offers a paramount search and is conveniently presented in one place.  Pricing  GPIs  NDCs  Billing Codes  Indications/Diseases Packaging Information Active and Inactive and more... Additionally, learn more about drugs and pharmaceuticals that can be used to detect, treat, or monitor ...

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Proper Coding and Billing for Drugs, Biologicals and Injections

Proper Coding and Billing for Drugs, Biologicals and Injections

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