Payer Information - VHA Chief Business Office

VHA Chief Business Office

Payer Information

CY 2012 Average Adminstraive Cost for Prescriptions
Update for CY12 to the average national administrative cost used for billing 3rd party pharmacy prescriptions drugs furnished by the VA for a nonservice-connected disability.
FAQs for Pharmacy Benefit Managers (PBMs) and Third Party Payers (TPPs) (PDF, 64kb)
This document is designed to provide answers to frequently asked questions (FAQs) and links to additional information about the implementation of VA's new prescription billing methodology.
Reasonable Charges Information (Rates) Information
Review the reasonable charges rules, notice, Federal Registre, data tables, data sources and facility locations for VA medical rates.
Third Party Pharmacy Prescription Billing Methodology Rule Change (PDF, 293kb)
Third party prescription training for TPPs and PBMs. Review the final Federal Register rule. Direct questions to: VHACOThirdPartyPayerPrescriptionBG@va.gov.