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Medicare Compliance & Reimbursement

Medicare Regulations:

Look for Payment for Some HIV Drugs as Additional Preventive Services

Published on Tue Feb 04, 2025

Question: Does the Centers for Medicare & Medicaid Services (CMS) cover medication for prophylactic transmission prevention of human immunodeficiency virus (HIV)? Washington, D.C. Subscriber Answer: On Sept. 30, 2024, CMS released the Pre-Exposure Prophylaxis (PrEP) to prevent HIV national coverage determination (NCD). This NCD established coverage of certain drugs under the Part B additional preventive services benefit. HIV or human [...]
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