Medicare Benefit Policy Manual (Pub. 100-02), Ch. 1 § 30.1
Drugs Included in the Drug Compendia
30.1 - Drugs Included in the Drug Compendia
(Rev. 1, 10-01-03)
A3-3101.2.A, HO-210.3.A
Medicare covers only those drugs and biologicals included, or approved for inclusion, in
the latest official edition or revision of the compendia as previously listed.
Where a drug is excluded from coverage because it is unfavorably evaluated in either the
AMA Drug Evaluations or Accepted Dental Therapeutics, the exclusion applies to all
uses for which the drug or biological was so unfavorably evaluated.
Drugs and biologicals are considered "approved for inclusion" in a compendium if
approved under the procedure established by the professional organization responsible for
revision of the compendium.