All PlansReimbursementMedium impact
DSS Important Message - Factor Drugs Dispensing Fee Update pdf
Connecticut Medicaid (HUSKY Health)·CT · Hematology, Oncology·Provider Bulletin
Effective date
Mar 1, 2022
We identified it
Jun 20, 2026
Summary
Effective March 1, 2022, pharmacy claims for Factor VII, VIII, IX, and X drugs will receive an additional $10.75 dispensing fee in the reimbursement amount. This applies to all pharmacy providers submitting claims for these blood clotting factor medications.
Action Required
Effective March 1, 2022: Pharmacy billing team must verify that billing system automatically includes the additional $10.75 dispensing fee for Factor VII, VIII, IX, and X drug claims. Update reimbursement expectations and confirm proper fee calculation in pharmacy management software.