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November 6, 2007

Medicare Part B Drug Competitive Acquisition Program (CAP): 2008 Physician Election and Impact on Carriers

The 2008 Physician Election Period for the Medicare Part B Drug Competitive Acquisition Program (CAP) began on October 1, 2007 and will conclude on November 15, 2007. The CAP is a voluntary program that offers physicians the option to acquire many drugs they use in their practice from an Approved CAP Vendor, thus reducing the time they spend buying and billing for drugs. The 2008 CAP program period will run from January 1 to December 31, 2008.

Physicians are instructed to submit their CAP election forms to their local carrier. As per Change Request (CR) 4064, local carriers are required to forward a list to the CAP designated carrier of all physicians and practitioners who have elected to participate in the CAP. This list is due on November 22, 2007.

Additional information about the CAP is available at the following website: http://www.cms.hhs.gov/CompetitiveAcquisforBios/01_overview.asp

The list of drugs supplied by the CAP vendor, including NDCs, is in the Downloads section at: http://www.cms.hhs.gov/CompetitiveAcquisforBios/15_Approved_Vendor.asp

To view and download the billing instructions for CAP physicians, see "CAP Physician Billing Tips" in the Downloads section of the "Information for Physicians" page:
http://www.cms.hhs.gov/CompetitiveAcquisforBios/02_infophys.asp


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