Medicare Part B Discarded Drug Units Report

Medicare Part B Discarded Drug Units Report

The Part B Discarded Drug Units report is a set of summary tables that presents spending information for Medicare Part B drugs claims that were identified as having discarded amounts of a drug.  As of January 1, 2017, the Centers for Medicare and Medicaid Services (CMS) requires all physicians, hospitals, and other providers submitting Medicare Part B drugs claims to report any discarded amount of a single use vial or other single use package drug on its claim for reimbursement.  Providers must use the “JW” modifier, a Healthcare Common Procedure Coding System (HCPCS) Level II modifier, to separately identify on the claim the exact discarded drug amount. In addition to paying for the amount of drug that has been administered to a beneficiary, Medicare Part B also pays for the amount of drug that has been discarded, up to the amount that is indicated on the vial or package label.

The tables allow users to identify single-use vial drugs with Medicare spending for discarded units in 2017 and 2018.  The data provided can be used to highlight drugs where packaging changes and/or payment policy updates may result in savings to the Medicare program and the beneficiary.

Downloads:

Medicare Part B Discarded Drug Units Report (ZIP)

Methodology for Medicare Part B Discarded Drug Units Report (PDF)

Page Last Modified:
12/19/2019 12:13 PM