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A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). The NPI has replaced the Unique Physician Identification Number (UPIN) as the required identifier for Medicare services, and is used by other payers ...
The national drug code (NDC) is a unique product identifier used in the United States for drugs intended for human use. The Drug Listing Act of 1972 [ 1 ] [ 2 ] requires registered drug establishments to provide the Food and Drug Administration (FDA) with a current list of all drugs manufactured, prepared, propagated, compounded, or processed ...
The drug list can differ among plans. Medicare can change the drug list at any time by adding specific drugs to the list or removing them. Plan providers should let people with prescription drug ...
A DEA number (DEA Registration Number) is an identifier assigned to a health care provider (such as a physician, physician assistant, nurse practitioner, optometrist, podiatrist, dentist, or veterinarian) by the United States Drug Enforcement Administration allowing them to write prescriptions for controlled substances.
Medicare Part D, also known as a prescription drug plan (PDP), has a list of covered medications known as a formulary. Each formulary has tiers, with generic, more cost-effective medication on ...
Medicare Prescription Drug Price Negotiation Act; Medicare Prescription Drug, Improvement, and Modernization Act; Medicare Prompt Pay Correction Act; Medicare Quality Cancer Care Demonstration Act; Medicare Rights Center; Medicare Shared Savings Program; Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999; Medigap; Minimum Data Set
National Drug Code (NDC) — administered by Food and Drug Administration. [1] Drug Identification Number (DIN) — administered by Health Canada under the Food and Drugs Act; Hong Kong Drug Registration — administered by the Pharmaceutical Service of the Department of Health (Hong Kong) National Pharmaceutical Product Index - South Africa
[3] [4] [5] Medicare defines any drug with a negotiated price of $670 per month or more as a specialty drug. These drugs are placed in a specialty tier requiring a higher patient cost sharing. [11] [12] Drugs are also identified as specialty when there is a special handling requirement [3] or the drug is only available via a limited ...