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Calendar Year 2005 Payment for Medicare Part B Radiopharmaceuticals Not Paid on a Cost or Prospective Payment Basis

This One-Time Notification informs contractors that
for dates of service on or after January 1, 2005, radiopharmaceutical payment allowance
limits are not subject to ASP. Contractors will determine radiopharmaceutical payment
allowance limits based on the methodology in place as of November 2003. Transmittal
528 (CR 3783), dated April 22, 2005, states that contractors will determine payment
limits for radiopharmaceuticals based on invoice pricing. This notice supersedes
Transmittal 528.

Download the Guidance Document

Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: November 01, 2005

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.