OAR 410-121-0280
Billing Quantities, Metric Quantities and Package Sizes


(1)

Use the actual metric quantity dispensed when billing (up to four decimal places).

(2)

Use the following units when billing products:

(a)

Solid substances (e.g., powders, creams, ointments, etc.), bill per Gram;

(b)

Solid substances that are reconstituted with a liquid (e.g., dry powder ampules and vials) such as antibiotic vials or piggybacks must be billed in metric quantity of one each;

(c)

Tablets, capsules, suppositories, lozenges, packets; bill per each unit. Oral contraceptives are to be billed per each tablet;

(d)

Injectables that are prepackaged syringe — (e.g., tubex, carpujects), bill per ml.;

(e)

Prepackaged medications and unit doses must be billed per unit (tablet or capsule). Unit dose liquids are to be billed by ml.;

(f)

Fractional units: Bill exact metric decimal quantities dispensed.

Source: Rule 410-121-0280 — Billing Quantities, Metric Quantities and Package Sizes, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=410-121-0280.

410‑121‑0000
Foreword and Definition of Terms
410‑121‑0021
Organizations Authorized to Provide Pharmaceutical Prescription Services
410‑121‑0030
Practitioner-Managed Prescription Drug Plan
410‑121‑0032
Supplemental Rebate Agreements
410‑121‑0033
Polypharmacy Profiling
410‑121‑0040
Prior Authorization Required for Drugs and Products
410‑121‑0060
How to Get Prior Authorization for Drugs
410‑121‑0061
Durable Medical Equipment, Medical Supplies, and Medical Surgical Services (Physician Administered Drugs)
410‑121‑0100
Drug Use Review
410‑121‑0111
Pharmacy and Therapeutics Committee
410‑121‑0135
Pharmacy Management Program
410‑121‑0143
Client Confidentiality
410‑121‑0145
Prescription Requirements
410‑121‑0146
Dispensing Limitations
410‑121‑0147
Exclusions and Limitations
410‑121‑0148
Dispensing in a Nursing Facility or Community Based Care Living Facility
410‑121‑0150
Billing Requirements
410‑121‑0155
Reimbursement
410‑121‑0157
Participation in the Medicaid Drug Rebate Program
410‑121‑0160
Dispensing Fees
410‑121‑0185
Pharmacy Based Immunization Delivery
410‑121‑0190
Medication Therapy Management Services and Clozapine Therapy Monitoring
410‑121‑0200
Billing Forms
410‑121‑0220
Instructions for Completion of the Prescription Drug Invoice
410‑121‑0280
Billing Quantities, Metric Quantities and Package Sizes
410‑121‑0300
CMS Federal Upper Limits for Drug Payments
410‑121‑0420
DESI Less-Than-Effective Drug List
410‑121‑0580
Oregon Medicaid and Pharmaceutical Manufacturers’ Dispute Resolution Procedures
410‑121‑0625
Items Covered in the All-Inclusive Rate for Nursing Facilities
Last Updated

Jun. 8, 2021

Rule 410-121-0280’s source at or​.us