Coherus BioSciences (“Coherus”, Nasdaq: CHRS), today announced that the Centers for Medicare & Medicaid Services (“CMS”) will continue to provide increased Medicare reimbursement in the 340B outpatient hospital setting through year-end 2022 for 28 drugs, biologics and devices impacted by the COVID-19 public health emergency, including UDENYCA® (pegfilgrastim-cbqv).
“We applaud CMS for continuing its support for patients, providers and hospitals impacted by the COVID-19 pandemic,” said Denny Lanfear, CEO of Coherus.
After transitional pass-through payment status expires for UDENYCA® on March 31, 2022, CMS will provide a separate payment through the end of 2022 to maintain the same reimbursement levels for UDENYCA® in the 340B outpatient hospital setting as determined through the pass-through payment program. Pass-through payment status was established by Congress to incentivize access for Medicare patients to biosimilars and other important therapeutics and devices in the hospital outpatient setting. Under the program, reimbursement for UDENYCA® in the 340B hospital outpatient setting is calculated at the CMS Average Sales Price (ASP) for UDENYCA® plus 6% of the ASP for Neulasta® (pegfilgrastim). By comparison, Neulasta® is currently reimbursed in the 340B hospital setting at the Neulasta® ASP less 22.5%.
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