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February 27, 2025

Immunosuppressive Drug Supply Allowance

These instructions apply to billing immunosuppressive drugs under the Immunosuppressive Drugs LCD L33824External Website.

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.

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