CMS Issued Guidance on Biosimilars

Please review CMS Coverage of Biosimilars for more information.

See new codes below:

HCPCS Code	Short Description		Long Description		Action		Coverage		Pricing		Effective Date
Q5101	Inj filgrastim g-csf biosim		Injection, Filgrastim (G-CSF), Biosimilar, 1 microgram		Add		D		51		7/1/2015
Q9976	Inj Ferric Pyrophosphate Cit		Injection, Ferric Pyrophosphate Citrate Solution, 0.1 mg of iron		Add		C		51		7/1/2015
Q9977	Compounded Drug NOC		Compounded Drug, Not Otherwise Classsified		Add		D		51		7/1/2015
JF		Compounded Drug	Compounded Drug	Discontinue		C				6/30/2015
Q9978	Netupitant Palonosetron oral		Netupitant 300 mg and Palonosetron 0.5 mg, oral		Add	D		51			7/1/2015
S8262	Mandib ortho repos device		Mandibular Orthopedic Repositioning Device, Each		Discontinue	I		0			6/30/2015