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Modification of Prescription Drug Event (PDE) editing of Cialis for Benign Prostatic Hyperplasia (BPH)

Guidance for CMS has become aware of PDEs being accepted for dosing below 1 tablet per day at the 5 mg strength or 2 tablets per day at the 2.5 mg strength which does not correspond with the treatment of BPH. In response, the editing for PDEs for Cialis is being modified.

Download the Guidance Document

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

Issue Date: August 02, 2013

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.