Official Medical Fee Schedule (OMFS)
Pharmaceuticals Fee Schedule

Do I have to include the name of the drug for physician-administered drugs?

Last update
August 8, 2022

ANSWER: Yes, 9789.13.2 (d) states that all claims for a physician-administered drug, biological, vaccine or blood product must include the specific name of the drug and the dosage.

This should go in the supplemental field on the CMS1500.

Note that for physician-dispensed pharmaceuticals, the specific name is not required, but DaisyBill highly recommends including the name of the pharmaceutical associated with the NDC number. Claims administrators alerted us that the name helps them more efficiently process pharmaceutical billing.

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