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for Providers

May 2024

Avoid National Drug Code Billing Errors

Submitting claims with the appropriate NDC information is important for claims processing and may help you spend less time troubleshooting a rejected claim line.

One common error is using the NDC number from individual vials instead of the NDC number on the box when medication comes in a box with multiple vials.

Providers participating in our PPO and Blue Choice PPOSM networks may access and obtain the NDC Reimbursement Schedule by using the Plan Documents Viewer on Availity® Essentials.

For more information, refer to the NDC Billing Guidelines and other important information on our Specialty Pharmacy Program page.

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