Pharmacy Compliance Question of the Week
August 4, 2008
Question:
What is the competitive acquisition program?
Answer:
The competitive acquisition program (known as CAP) is an alternative to
the average sales price (ASP) (buy and bill) method of obtaining certain
Part B drugs administered in physicians' offices. Physicians who choose
to participate in the CAP obtain approximately 190 drugs on the CAP drug
list from an approved CAP vendor that was selected through a competitive
bidding process and approved by CMS. A physician bills Medicare for administering
a CAP drug. An approved CAP vendor bills Medicare for the CAP drug and collects
applicable cost-sharing amounts from a beneficiary.
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