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What is changing?
Effective for dates of service on and after December 1, 2023, HCA has updated the Prescription Drug Program Billing Guide. Revisions to the billing guide include the following:
- Added vaccines that can be billed through the point-of-sale pharmacy system
- Updated pharmacy billing information for vaccines and vaccine administration
- Added new section for Beyfortus™ and Synagis®
- Updated professional dispensing fee allowances for pharmacies to align with recently filed emergency rules
For more details, refer to the What has changed? table inside the updated guide, which is located on HCA’s Provider billing guides and fee schedules webpage.
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