specified covered outpatient drug
Defined in 1 place of the United States Code.
In this paragraph, the term “specified covered outpatient drug” means, subject to clause (ii), a covered outpatient drug (as defined in section 1396r–8(k)(2) of this title) for which a separate ambulatory payment classification group (APC) has been established and that is—
(I) a radiopharmaceutical; or
(II) a drug or biological for which payment was made under paragraph (6) (relating to pass-through payments) on or before December 31, 2002.
Source
- 2003–present42 U.S.C. § 1395LThe Public Health and Welfare · Payment of benefits · under this part