Compounded drug prescriptions billed at more than $1,000 will require preauthorization starting Saturday, when Florida's amended reimbursement manual goes into effect.
Stakeholders predict pharmacies will begin sending in an inordinate amount of $999 invoices to get under the threshold — in cases where their medications otherwise slightly exceed the cap — to save time, money and preauthorization hassles.
A new section in the 2016 edition of the Florida Health Care Provider Reimbursement Manual defines the dispensing of compound drugs as a “speci...
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