Medicare Part D Excluded Drug List - Blue Cross …

Medicare part D Excluded DRUGS LIST 2016_updated July 2016 Reason: LIST = multiple reasons it's Excluded ; "not covered under part D law"Reason: Not properly listed with FDA = CMS considers it best practice for part D sponsors to consider the proper listing of a drug product with the FDA as a prerequisite for making a part D drug coverage determination. The FDA is unable to provide regulatory status determinations through their regular processes if a drug product is not properly listed. Therefore, part D sponsors should begin the drug coverage determination process by confirming that a prescription drug product national drug code (NDC) is properly listed with the FDA. Reason: DESI = Less Than Effective (LTE) drug for ALL indicationsLabel NameReason1ST BASE CREBulk Ingredient2-FUCCOSYLLA PAK LACTO-NMedical FoodABANEU-SL SUBV itamin/MineralABLAVAR INJ 244MG/MLDiagnostic AgentACACIA EXTRA SOL 1:20 Non-standardized allergenicACCUCAINE INJ 1%LISTACD FORMULA SOL ABlood ComponentACD-A SOLB lood ComponentACLARO PD EMU 4%CosmeticACREMONIUM SOL 20000 PNUNon-standardized allergenicACTCT F

MEDICARE PART D EXCLUDED DRUGS LIST 2016_updated July 2016 Reason: LIST = multiple reasons it's excluded; "not covered under Part D law". Reason: Not properly listed with FDA = CMS considers it best practice for Part D sponsors to consider the proper listing of a drug product with the FDA as a prerequisite for making a Part D …

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