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We note that the different monthly doses of Brixadi are assigned to the same HCPCS code J0578 ( Injection, buprenorphine extended release (brixadi), greater than 7 days and up to 28 days of therapy ) and have the same payment limit regardless of the monthly dose (64 mg, 96 mg, or 128 mg), so selecting a typical dose of monthly Brixadi to potentially adjust the drug component of G2069 would not meaningfully change the payment rate
For example, should CMS update the measure to require healthcare providers to meet a certain threshold for conditions reported
Tyrone J
Awasthi et al
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