[Code of Federal Regulations] [Title 42, Volume 2] [Revised as of October 1, 2004] From the U.S. Government Printing Office via GPO Access [CITE: 42CFR410.30] [Page 267] TITLE 42--PUBLIC HEALTH CHAPTER IV--CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES PART 410_SUPPLEMENTARY MEDICAL INSURANCE (SMI) BENEFITS--Table of Contents Subpart B_Medical and Other Health Services Sec. 410.30 Prescription drugs used in immunosuppressive therapy. (a) Scope. Payment may be made for prescription drugs used in immunosuppressive therapy that have been approved for marketing by the FDA and that meet one of the following conditions: (1) The approved labeling includes the indication for preventing or treating the rejection of a transplanted organ or tissue. (2) The approved labeling includes the indication for use in conjunction with immunosuppressive drugs to prevent or treat rejection of a transplanted organ or tissue. (3) Have been determined by a carrier (in accordance with part 421, subpart C of this chapter), in processing a Medicare claim, to be reasonable and necessary for the specific purpose of preventing or treating the rejection of a patient's transplanted organ or tissue, or for use in conjunction with immunosuppressive drugs for the purpose of preventing or treating the rejection of a patient's transplanted organ or tissue. (In making these determinations, the carriers may consider factors such as authoritative drug compendia, current medical literature, recognized standards of medical practice, and professional medical publications.) (b) Period of eligibility. Coverage is available only for prescription drugs used in immunosuppressive therapy, furnished to an individual who receives an organ or tissue transplant for which Medicare payment is made, for the following periods: (1) For drugs furnished before 1995, for a period of up to 1 year beginning with the date of discharge from the hospital during which the covered transplant was performed. (2) For drugs furnished during 1995, within 18 months after the date of discharge from the hospital during which the covered transplant was performed. (3) For drugs furnished during 1996, within 24 months after the date of discharge from the hospital during which the covered transplant was performed. (4) For drugs furnished during 1997, within 30 months after the date of discharge from the hospital during which the covered transplant was performed. (5) For drugs furnished after 1997, within 36 months after the date of discharge from the hospital during which the covered transplant was performed. (c) Coverage. Drugs are covered under this provision irrespective of whether they can be self-administered. [60 FR 8955, Feb. 16, 1995. Redesignated at 63 FR 34327, June 24, 1998]