Pharmacies

10.2.2.7 – Pharmacies (Rev. 11859; Issued: 02-16-23; Effective: 03-17-23; Implementation: 03-17-23) Pharmacies are a supplier type that---depending upon the circumstances involved and as discussed below---enroll via the Form CMS-855S or Form CMS-855B. A. General Background Information Pharmacies typically enroll via the Form CMS-855S. However, there are certain covered drugs that are billed through the physician fee schedule and not the schedule for durable medical equipment, prosthetics, orthotics and supplies. These drugs must be billed to the Part A/B Medicare Administrative Contractor (MAC), meaning that the pharmacy must enroll via the Form CMS-855B. B. Additional Information For more information on the billing and coverage policies for Part B drugs, see: • Pub. 100-04, chapter 17 • Pub. 100-02, chapter 15, sections 50 through 50.6