Medicare Benefit Policy Manual (Pub. 100-02), Ch. 1 § 30.1

Drugs Included in the Drug Compendia

Last amended: 2003Year: 2003Length: 103 wordsOfficial source
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.
Medicare Benefit Policy Manual (Pub. 100-02), Ch. 1 § 30.1: Drugs Included in the Drug Compendia | Justis AI