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Internet-Only Manual (IOM) Update: Addition of Section 70.2 to Publication 100-04, Chapter 17 –Billing Zero Charges for Drug Line Items Provided at No Cost

The purpose of this Change Request (CR) is to update Publication 100-04, Chapter 17 of the IOM through the addition of Section 70.2. This manual update provides billing instructions for the submission of drug claims with zero charges.

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Issued by: Centers for Medicare & Medicaid Services (CMS)

Issue Date: June 06, 2025

DISCLAIMER: The contents of this database lack the force and effect of law, except as authorized by law (including Medicare Advantage Rate Announcements and Advance Notices) or as specifically incorporated into a contract. The Department may not cite, use, or rely on any guidance that is not posted on the guidance repository, except to establish historical facts.