Medicare Part B

PART B DIAGNOSTIC RADIOPHARMACEUTICAL UPDATE . . .

For more information about our updated Part B Diagnostic Radiopharmaceuticals Pricing and Invoice Requirements, please read our Part B Diagnostic Radiopharmaceuticals Payment Policy.

Restrictions on Certain Medications Administered in the Doctor's office

Care Improvement Plus requires that providers get prior authorization for certain drugs that are usually billed under Medicare Part B. This means providers will need to get approval for certain medications before administering them in the office.

If providers don't get approval, Care Improvement Plus may not cover the drug and the provider may not be reimbursed. To receive prior authorization, please call
1-866-904-6561.

The following medications will need to go through the Prior Authorization process in 2010.