Self-Administered Drug Exclusion List (SAD List)
The Centers for Medicare & Medicaid Services (CMS) Internet Only Manual (IOM) Publication 100-02, Chapter 15, 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.
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