If our office incorrectly reconstituted Herceptin (Trastuzumab) using sterile water instead of bacteriostatic water, and we are unable to store and use the rest of the vial, can our facility bill for the wasted drug and the administered amount?

Answer: No. There is no Medicare reimbursement for drug wastage of a multi-dose or multi-use vial when an unused portion must be discarded.

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