Skip to Main Content

Print | Bookmark | Font Size: + |

May 21, 2025

Immunosuppressive Drug Supply Allowance – Revised

Dates of service on or after January 1, 2025:

  • Suppliers can dispense and bill up to a 90-day supply of immunosuppressive drugs.
  • Claim Narrative field: 3-months or 90 days
  • CGS will automatically adjust claims with dates of service on or after January 1, 2025, that denied in error for billing a 90 day-supply.

Dates of service before January 1, 2025:

  • Suppliers can dispense and bill no more than a 30-day of immunosuppressive drugs.

For medical necessity coverage, see the Immunosuppressive Drugs LCD L33824External Website.

Publication History

May 21, 2025 Revised to clarify coverage guidance in the LCD
February 27, 2025 Originally Published

spacer

26 Century Blvd Ste ST610, Nashville, TN 37214-3685 © CGS Administrators, LLC. All Rights Reserved