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2006 proposed fee schedule - American Society of Clinical Oncology

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an $8 <strong>fee</strong> per prescription for any subsequent prescriptions<br />

during the month.<br />

We are also proposing to expand the circumstances under<br />

which we pay supplying <strong>fee</strong>s for multiple prescriptions<br />

filled on the same day. Currently, we pay a supplying <strong>fee</strong><br />

for each prescription supplied on the same day as long as<br />

the prescriptions are for different drugs. We are now<br />

proposing to pay a supplying <strong>fee</strong> for each prescription, even<br />

if the prescriptions are for different strengths <strong>of</strong> the same<br />

drug. This change is intended to recognize the costs<br />

involved in filling separate prescriptions for different<br />

strengths <strong>of</strong> a drug. For example, if two prescriptions were<br />

supplied on a single day and they were for different<br />

strengths <strong>of</strong> the same drug, we are proposing to pay a<br />

supplying <strong>fee</strong> <strong>of</strong> $24 for the first prescription and a<br />

supplying <strong>fee</strong> <strong>of</strong> $8 for the second prescription.<br />

Our goal is to ensure that each beneficiary who needs<br />

covered oral drugs has access to those medications while<br />

maintaining our fiduciary responsibility to pay<br />

appropriately for Medicare covered services. We seek<br />

comments about the appropriateness <strong>of</strong> our <strong>proposed</strong> supplying<br />

<strong>fee</strong> for multiple prescriptions supplied during a single<br />

month. We also seek data and information about the<br />

incremental costs <strong>of</strong> supplying additional prescriptions to a<br />

Medicare beneficiary during a single month, as well as data

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