How does Medicare DMEMACs reimburse Medicare suppliers for XELODA?
Physician Office/Pharmacy Suppliers Medicare DMEMAC reimbursement for XELODA is based on 106% of the Average Sales Price (ASP). Medicare Part B drug reimbursement allowances are adjusted quarterly and posted on the CMS website. For covered claims, Medicare will reimburse participating providers at 80% of the reimbursement allowable. Patients or their secondary insurers are responsible for paying the remaining 20%.
