PrEP Using Antiretroviral Therapy to Prevent HIV Infection: Technical FAQs for Pharmacies

The Centers for Medicare and Medicaid Services (CMS) released technical FAQs for pharmacies (PDF) about the Preexposure Prophylaxis (PrEP) Using Antiretroviral Drugs to Prevent HIV National Coverage Determination (NCD), which they expect to release in late September 2024. They got public feedback asking to release more technical information on how to submit future Medicare Part B claims in advance of the final NCD.

They expect the final NCD will be similar to the proposed NCD that was published on July 12, 2023, and pharmacies should prepare now for this transition. They’re sharing as much information as possible before issuing the final NCD to avoid disruptions for people with Medicare.

More Information:

• Fact sheet (PDF)
• National Coverage Analysis

Source: https://www.cms.gov/training-education/medicare-learning-network/newsletter/2024-06-27-mlnc#_Toc170363964