Injectable physician-administered products are typically covered under the medical or Part B
benefit, though some payers may require coverage under the pharmacy or Part D benefit.
details can be determined during the benefits verification process.
The reimbursement rates of injectable physician-administered drugs covered under the medical
Part B benefit may depend on site of care, payer, and drug-specific information.
Regularly review insurance provider payments to the office and reconcile reimbursement of
primary and secondary insurance providers.
For more information on payment rates for injectable drugs in freestanding infusion
centers/physician offices and hospital outpatient departments, consult the
and Coding Guide.