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Drug, Pharmacy Supply and Dispensing Fees

Noridian provides this information as a service to our customers. While we have made every effort to ensure the accuracy of this information up to our publication deadline, we are not responsible for any errors or subsequent changes. We do not guarantee eligibility for reimbursement based on using this information. Reimbursement is based on factors including, but not limited to: disease diagnosis, medical necessity for the DMEPOS item and the Medicare program coverage guidelines.

Note: Inclusion or exclusion of a fee schedule amount for an item or service does not imply any health insurance coverage.

Quarter 1 = January 1 – March 31
Quarter 2 = April 1 – June 30
Quarter 3 = July 1 – September 30
Quarter 4 = October 1 – December 31

Average Sales Price (ASP) fees along with pharmacy supply and dispensing fees are provided by CMS.






2015 Pharmacy Supply and Dispensing Fees

HCPCS Code Fee
G0333 $57.00
Q0510 $50.00
Q0511 $24.00
Q0512 $16.00
Q0513 $33.00
Q0514 $66.00


Last Updated Jan 06, 2017