MedicaidBilling CodesMedium impact
New Billing Instructions for Sevenfact pdf
Connecticut Medicaid (HUSKY Health)·CT · Hematology·Provider Bulletin
We identified it
Jun 20, 2026
Summary
Connecticut Medicaid now requires pharmacy providers to bill Sevenfact (coagulation factor VIIa) claims using vials as the unit of measure instead of individual units. For example, if dispensing one 5mg vial, bill quantity as '1' vial rather than by milligrams or other unit measurements.
Action Required
Immediately: Pharmacy billing staff must update billing procedures for Sevenfact claims to submit dispensed quantities in vials rather than individual units. Update billing system settings for NDC codes 71127-1000-01, 71127-1100-01, 71127-5000-01, and 71127-5100-01. Ensure electronic claim submission is used during the temporary COVID-19 period as required.