Medicare D billing questions and requirements for Fraud, Waste, & Abuse training

September 2009

Pharmacists are asking about Medicare D billing questions and requirements for Fraud, Waste, & Abuse training.

Here are some dos and don'ts...unless your pharmacy policies or the payor has different rules.

Split fills. It's okay to dispense a smaller amount than the Rx calls for IF the patient requests it...not just to increase fees.

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Table of Contents

Cardiology warfarin used in combo with aspirin AND clopidogrel (Plavix) in more cardiac patients
Gout changes in how colchicine is dosed for acute gout
Respiratory & Allergy how fast their inhalers expire
Respiratory & Allergy whether EpiPen and Twinject needles are long enough to give epinephrine IM
Diabetes Onglyza (on-GLY-zah), the second "gliptin" for type 2 diabetes
Dermatology new Rx treatment for head lice called Ulesfia (yoo-LESS-fee-ah), or benzyl alcohol lotion
Thyroid Disorders Desiccated thyroid is increasingly difficult to get
Probiotics A growing number of products with probiotics
Med Administration whether patients should repeat a dose if they vomit after taking an oral medication
Medicare D billing questions and requirements for Fraud, Waste, & Abuse training
Influenza the safety of the upcoming novel H1N1 (swine) flu vaccine