Pre-printed prescriptions were at
issue with respiratory (nubulizer) compounding decades ago, leading to
questionable reimbursements under Medicare Part B (the unapproved drugs may not
have been intended by prescribers, and, at the very least, the preprinted forms
did not include material facts about the products--seems they have resurfaced
here, particularly with respect to pain cream concoctions. Claims are made on
the benefit side, with little or no risk disclosure. on Question of the Day August 29, 2014
Should PBMs recoup claims and immediately terminate Network Proviider for all
claims relating to compounding pharmacies who have been using form/check the
box that were in violation of the Provider Manual? How much total money could
be recouped from this violation alone?
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