A DRUG OR BIOLOGIC MUST BE ADMINISTERED INTRAVENOUSLY OR SUBCUTANEOUSLY TO QUALIFY AS A “HOME INFUSION DRUG.” CMS WILL NOT RECOGNIZE DRUGS FURNISHED VIA INTRATHECAL OR INTRA-ARTERIAL ADMINISTRATION.

CMS ALSO SPECIFICALLY EXCLUDES: INSULIN PUMP SYSTEMS AND ANY SELF-ADMINISTERED DRUG (SAD) OR BIOLOGIC ON A SELF-ADMINISTERED DRUG EXCLUSION LIST FROM MEDICARE ADMINISTRATIVE CONTRACTORS (MACS.)

SAD EXCLUSION LIST CAN BE FOUND AT:

HTTPS://WWW.CMS.GOV/MEDICARE-COVERAGE-DATABASE/REPORTS/REPORTS.ASPX#