tci Medicare Compliance & Reimbursement - 2006 Issue 20

PART D: Part D Policy Shift Brings New Drugs On Board

Plans can cover prescription niacin, feds allow.Medicare beneficiaries with high cholesterol now have a fighting chance of coverage for a prescription drug they may need.Physicians often prescribe the vitamin niacin to fight high cholesterol. But Medicare Part D's prescription drug plans nixed coverage for prescription niacin because the program by law disallows coverage for "prescription vitamins."In an April 11 memo to drug plans, the Centers for Medicare & Medicaid Services said plans can include the prescription niacin products Niaspan and Niacor on Part D formularies.That move comes in spite of a CMS policy clarification it...

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