Physician Administered Drug Program

The Physician Administered Drug Program covers drugs purchased for use in an outpatient office setting. Medicaid covers the cost of the drug when it is purchased by the same provider administering the drug.

  • All drugs are not automatically covered in the Physician Administered Drug Program
  • Drugs and biological medications must be approved by the Food and Drug Administration as reasonable and necessary for the diagnosis and treatment of the illness or injury
  • Experimental drugs or drugs for investigational use are not covered by the Medicaid program

Covered medications include:

  • Injectable drugs
  • Intravenous administrations
  • Chemotherapy
  • Vaccines/toxoids
  • Immune globulins
  • Radiopharmaceuticals

Resources

Fee Schedules

Physician Administered Drug Program Catalogue

Clinical Coverage Policies (1B, 1B-1, 1B-2 and 1B-3)

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