Examples of Ingredient cost in a sentence
Ingredient cost is based on Medispan’s Average Wholesale Prices (AWPs) as reflected in the Online System at the time the prescription was filled less a discount as specified in the Participating Pharmacy Agreement.
We do not release the four subcomponents of drug cost: Ingredient cost, dispensing fee, vaccine administration fee, and total amount attributable to sales tax.Comment: One commenter stated that the rule does not address how states that have all payer claims databases (APCDs) can access Medicare data.Response: We do not believe that state APCDs are prohibited from becoming qualified entities.
This code is represented in this document to offset the Claim audit adjustments in conjunction with CARC code.216 - Based on the findings of a review organization90 = Ingredient cost adjustmentLQ01 – Code List Qualifier Code4HE = Claim payment remark code (411 Code Source)LQ02 – Remark CodeN199 = Additional payment/adjustment approved based on payer-initiated review/auditPLB03-1CS – AdjustmentFB – Forwarding balance 1 Accredited Standards Committee X12, Insurance Subcommittee, X12N.
Drugs acquired at Nominal Price (outside of 340B or FSS) – Ingredient cost based on AAC plus a professional dispensing fee of $11.29.
Drugs acquired via the Federal Supply Schedule (FSS) – Ingredient cost based on AAC plus a professional dispensing fee of $11.29.