Bill Medicare for discarded drugs and biologics up to the amount indicated on the single‐use vial or package label when appropriate.
Do not bill Medicare for any amount that exceeds what is indicated on the vial or package label. Many manufacturers provide extra drug in each vial to account for wastage in the syringe hubs. The extra amount is not an expense to the provider and should not be billed to Medicare.
Do make good‐faith effort to schedule patient appointments for similar single‐use vial or packages on the same day to reduce drug wastage. Note that this practice should only be used when clinically appropriate.
Do not bill Medicare for drug wastage if none of the drug was initially administered. The CMS will not reimburse unused drugs or biologics that result from a missed patient appointment.