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You report the medication supply separately using the specific HCPCS J-code that corresponds to the administered drug
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A high FDL ratio reduces the number of periods that can receive outlier payments but makes it possible to select a higher loss-sharing ratio, and therefore, increase outlier payments for qualifying outlier periods
Yet these therapies should be viewed as adjuncts, not replacements for established treatments
[DOI] [PMC free article] [PubMed] [Google Scholar] 112.Frystyk J., Freda P., Clemmons D.R
