I have heard that only single-source drugs and 20 multiple source drugs will require rebates. Can I just submit NDCs for just those drugs?
No. At this time, states are mandated to submit rebates on 20 drugs, but they are encouraged to expand their rebate program beyond that and MassHealth intends to do so. The “mandatory 20” will change yearly to simplify billing for providers and processing for MassHealth claims. All physician-administered medications will require submission of NDCs. Please Note: Some products not traditionally considered drugs are included in those mandated for rebate (for example, J7050 Infusion, normal saline, 250 cc), so don’t overlook these products when submitting NDCs.