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For intent of this exclusion, "the expression 'commonly' signifies more than fifty per cent of the time for all Medicare beneficiaries who make use of the drug. Consequently, if a drug is self-administered by over 50 per cent of Medicare beneficiaries, the drug is excluded from coverage" along with the MAC could make no payment for your drug.Dr. St
For goal of this exclusion, "the time period 'typically' usually means in excess of fifty percent of the time for all Medicare beneficiaries who make use of the drug. For that reason, if a drug is self-administered by in excess of 50 per cent of Medicare beneficiaries, the drug is excluded from protection" and the MAC could make no payment for that