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Advising the Congress on Medicare issues
MedPAC > Recommendations > Improving Medicare’s policies for separately payable drugs in the hospital outpatient prospective payment system (1)

Improving Medicare’s policies for separately payable drugs in the hospital outpatient prospective payment system (1)

June 15, 2021

The Congress should direct the Secretary to modify the pass-through drug policy in the hospital outpatient prospective payment system so that it:

  • includes only drugs and biologics that function as supplies to a service and
  • applies only to drugs and biologics that are clinically superior to their packaged analogs.

Topics: Drugs, Devices, and Tests and Hospital.