We recommend that the North Carolina Department of Health and Human Services, Division of Health Benefits work with CMS to determine the unallowable portion of $684,731 (Federal share) for other claims for multiple-source physician-administered drugs that may have been ineligible for Federal reimbursement, refund that amount, and consider invoicing drug manufacturers for rebates for these drugs if CMS determines that the drug claims are allowable.
Questioned Costs
$684731
Funds for Better Use
$0
Recommendation Status
Open
Source UUID
23-A-07-040-23-A-07-040.03
Report
Recommendation Number
23-A-07-040.03
Significant Recommendation
No