NC · guidance
N.C. Medicaid Clinical Coverage Policy No. 3D § 7.3.4
Pharmacy Services
Drugs and biologicals pertaining to the terminal diagnosis are reimbursed
to the hospice as part of the hospice per diem. DHHS fiscal contractor
shall make direct reimbursement to the pharmacy for drugs used to treat
illnesses or conditions not related to the terminal illness. The hospice
provider shall supply the diagnosis code for the terminal illness when
contacted by the pharmacy. The pharmacy needs this information to
process the claim. Refer to clinical coverage policy 9, Outpatient
Pharmacy Services on NC Medicaid’s website at
https://medicaid.ncdhhs.gov/, for additional information.
Provenance
- Source
- medicaid.ncdhhs.gov
- Retrieved
- 2026-10-01
- Edition
- ccp-3d-2024-03-15
- Content hash
3d04baf21c0589c1bc3f29c695f0ebf9d4e7aea1c713448f6d2d1ef1259cff3b
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