International Journal of Pharmaceutical Compounding

A subscription to IJPC provides on-line access to full-text, full-color, printable PDF copies of your subscribed issues, individual articles, and purchased archives.

LEARN MORE

Optimizing Third-party Reimbursement for Compounded Medications

Author(s): McElhiney Linda F

Issue: May/Jun 2013 - Volume 17, Number 3
View All Articles in Issue

Page(s): 201-204

Optimizing Third-party Reimbursement for Compounded Medications Page 1

Optimizing Third-party Reimbursement for Compounded Medications Page 2

Optimizing Third-party Reimbursement for Compounded Medications Page 3

Optimizing Third-party Reimbursement for Compounded Medications Page 4

Download in electronic PDF format for $75

Abstract: Recently, third-party payers have been closely scrutinizing compounded medications that are dispensed in hospital-based outpatient pharmacies. Insurance claims are being rejected for reasons that defy logic. Working with third-party payers and receiving reimbursement for compounded medications can be frustrating and complicated; however, simple measures can be taken to optimize reimbursement for the medications. This article discusses some of these simple measures.

Related Keywords: hospital pharmacy compounding, third-party reimbursement, health insurance claims, National Drug Code number, NDC number, flavoring agents, purified water, bulk chemicals, manufacturers, formulation modification, formulation standardization, drug costs

Related Categories: BUSINESS, EXCIPIENTS, DOSAGE FORMS/DRUG CARRIERS, HOSPITAL PHARMACY

Printer-Friendly Version

Title/Author (Click for Abstract / Details / Purchase)	Issue/Page View/Buy
Related Articles from IJPC
Optimizing Third-party Reimbursement for Compounded Medications McElhiney Linda F	May/Jun 2013 Pg. 201-204
PreScription: Third-party Inequities and Discrimination Allen Loyd V Jr	Sep/Oct 2011 Pg. 356
Veterinary Transdermal Medications: A to Z Davidson Gigi S	Mar/Apr 2003 Pg. 106-113
PostScription: Tempted to Bill Compounds to Third-Party Cards? Don't Put Your Reimbursement or Contract at Risk! Mason Dave	May/Jun 2006 Pg. 240
Featured Excipient: Flavor Enhancing Agents Allen Loyd V Jr	Jan/Feb 2003 Pg. 48-50
Problems with Third-Party Payments for Compounded Prescriptions Heckman H Edward	Mar/Apr 1998 Pg. 134-136
Third-Party Contracting for Compounding Pharmacies Heckman H Edward	Sep/Oct 2002 Pg. 359-361
NDC Numbers: A New Approach Heckman H Edward	Sep/Oct 2003 Pg. 358-359
Compounding in the Pharmacy Curriculum: Beyond the Basics Hinkle Amanda R, Newton Gail D	May/Jun 2004 Pg. 181-185
On-Line Billing for Custom Compounds: The Third-Party Payor Heckman H Edward	Nov/Dec 2000 Pg. 445-446
Certification, Accreditation, and Credentialing for 503A Compounding Pharmacies Pritchett Jon, McCrory Gary, Kraemer Cheri, Jensen Brenda, Allen Loyd V Jr	Jan/Feb 2018 Pg. 7-16
Quality Control Analytical Methods: Aqua Pura: Water Purification Systems and United States Pharmacopeia Waters for the Compounding Pharmacy, Part 2: USP Waters: Experts at the United States Pharmacopeia Answer Compounders' Questions Schnatz Rick, Hernandex-Cardoso Antonio	May/Jun 2011 Pg. 224-232
Third Party Contracts and the Compounding Pharmacy Heckman H Edward	Jul/Aug 1998 Pg. 286-287
Quality Control: Bar Codes and Bar Code Scanners for Unit-Dose Medications in a Healthcare Setting Medi-Dose Inc./EPS Inc.	Sep/Oct 2017 Pg. 384-387
Sterile Basics: Pharmaceutical Waters Used in Sterile and Nonsterile Compounding Allen Loyd V Jr	Sep/Oct 2019 Pg. 399-402
Compounded Testosterone Troches to optimize Health and the Testosterone Controversy Guth Michael AS	May/Jun 2015 Pg. 195-203
Flavors and Flavoring Allen Loyd V Jr	Mar/Apr 1997 Pg. 90-92
Wetting and/or Solubilizing Agents, Featured Excipient: Allen Loyd V Jr	Jul/Aug 2001 Pg. 310-312
PreScription: Challenging Times Allen Loyd V Jr	Jul/Aug 2014 Pg. 268
The Role of Compounding in Closing Therapeutic Gaps--Abstracts from FIP 2013 Lutz Eugene, Pauletti Giovanni, Carvalho Maria, Davidson Gigi, Ashworth Lisa, Subramaniam Vaiyapuri, Llambí Francesc	Jan/Feb 2014 Pg. 6-12
Return to Top