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Self-Administered Drug Exclusion List (SAD List)

The Centers for Medicare & Medicaid Services (CMS) Internet Only Manual (IOM) Publication 100-02, Chapter 15Adobe Portable Document Format, Section 50.2 discusses the process of Medicare determination of whether a drug is considered usually self-administered.

Medicare will not reimburse a physician's office for these drugs. Individual circumstances or training the patient on how to effectively administer the drug are not considered exceptions to the instructions and are therefore not payable.


ICD-9

Iowa(external link)

Kansas(external link)

Missouri(external link)

Nebraska(external link)

J5 National(external link)



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Page Last Updated: Friday, 14-Mar-2014 07:46:33 CDT