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US · guidance

CMS Pub. 100-18, ch. 6, § 10.3

Commercially Available Combination Products

activein force · 2026-09-17 – presentas-observed

Only those combination products approved and regulated in their combination form by the FDA

as a drug, vaccine, insulin, or biological product, as described in paragraph (i), (ii), (iii), or (v)

of the Part D drug definition at §423.100 are eligible for Part D coverage. This requirement for

FDA approval applies to commercially available combination products meant for broad

distribution. Extemporaneously compounded prescription drug products (addressed separately

in this chapter in section 10.4 as well as in §423.120(d)) are not affected by this requirement.

Approved commercially available combination products include those with multiple active

ingredients combined in a single drug product and those products with multiple drugs that

remain separate but are co-packaged together and intended for dispensing as a single entity.

History

(Rev. 18, Issued: 01-15-16, Effective: 01-15-16; Implementation: 01-15-16)

Provenance

Source
cms.gov
Retrieved
2026-09-17
Edition
iom-2026-09-17
Content hash
390c517c81bb936ef5d35ec773d5742d356091e6974082d4064d3c1401ca63ef
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CMS Pub. 100-18, ch. 6, § 10.3 — Commercially Availab… · binding.law