Is a hospital outpatient department or emergency room required to report NDCs?
Yes. CMS published clarification at 42 CFR 447 (Final Rule dated July 17, 2007) in which they clarified conditions relating to physician-administered drugs and based their “interpretation on the statute language that does not differentiate between providers in requiring that States collect information sufficient to bill for rebates for covered outpatient drugs under section 1927(k)(3) of the Act.” Drugs administered incident to an emergency room service that are billed separately as covered outpatient drugs, as defined by 1927(k)(2) of the Act, are covered under the Medicaid Drug Rebate Program.
