340B Acquired Drugs
The 340B drug pricing program is a federal program that allows certain federally designated healthcare entities to purchase drugs at a discounted rate. As of January 1, 2018, Medicare reimburses hospitals who bill under OPPS at a rate of the Average Sales Price (ASP) - 22.5 percent. for drugs purchased through the 340B Drug Program.

Appeals
In accordance with Medicare’s national payment policy for drugs acquired under the 340B drug program, drugs reimbursed under OPPS are not eligible for an administrative review. Appeal requests received by Palmetto GBA will be dismissed.

Contact Palmetto GBA JJ Part A Medicare

Provider Contact Center: 877-567-7271

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