Medicare Part B Supplying and Dispensing Fees (42 CFR 414.1001)

Medicare Part B supplying and dispensing fees for a pharmacy.

Open the tool → Runs in your browser. Data leaves only if you deliberately send a problem report from the interactive tool.

Example

Drug category
Oral anticancer drug
Prescriptions supplied in this 30-day period
3
The first prescription in the period
Includes the beneficiary's first prescription in this 30-day period

Result: Total fee $56.

The tool opens with these values already filled in. Replace them with your own.

What you enter

  • Drug category
  • Prescriptions supplied in this 30-day period
  • The first prescription in the period
  • Immunosuppressive, the initial prescription after a transplant
  • Inhalation drug, the supply dispensed
How this is calculated

Citation

42 CFR 414.1001: supplying fees of $24 for the first prescription in 30 days, $16 for each after it and $50 for the initial immunosuppressive prescription after a transplant; inhalation drug dispensing fees of $57, $33 and $66. Fixed beginning in 2006. Read the source ↗

A reference and educational tool. Not medical, legal, or financial advice, and not a substitute for clinician judgment.

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Built by Clay Good. Source on GitHub.